Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DR QUINTANA DENTAL CORPORATION INC

NPI: 1114679156 · WOODLAND, CA 95695 · Dental Clinic/Center · NPI assigned 01/20/2022

$89K
Total Medicaid Paid
1,618
Total Claims
1,604
Beneficiaries
5
Codes Billed
2022-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialQUINTANA CASTRILLON, YVAN CARLOS (OWNER DENTIST)
NPI Enumeration Date01/20/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 298 $18K
2023 491 $29K
2024 829 $42K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 543 541 $36K
D1110 Prophylaxis - adult 312 312 $26K
D0210 Intraoral - complete series of radiographic images 523 521 $25K
D1208 Topical application of fluoride, excluding varnish 218 218 $3K
D0230 Intraoral - periapical each additional radiographic image 22 12 $89.10