Medicaid Provider Spending

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

TIN MAUNG MAUNG DDS

NPI: 1124685326 · TEMECULA, CA 92591 · Dental Clinic/Center · NPI assigned 05/22/2019

$36K
Total Medicaid Paid
1,120
Total Claims
807
Beneficiaries
8
Codes Billed
2020-06
First Month
2022-04
Last Month

Provider Details

Authorized OfficialQUINTANA, PERLA (OM)
NPI Enumeration Date05/22/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 776 $25K
2021 251 $8K
2022 93 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 252 252 $17K
D0210 Intraoral - complete series of radiographic images 132 132 $6K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 53 26 $4K
D1110 Prophylaxis - adult 35 35 $3K
D0350 309 89 $3K
D1208 Topical application of fluoride, excluding varnish 172 172 $2K
D1120 Prophylaxis - child 46 46 $1K
D0230 Intraoral - periapical each additional radiographic image 121 55 $490.05