Medicaid Provider Spending

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

TERESA GONZALEZ REDER DDS, INC.

NPI: 1134325434 · CULVER CITY, CA 90230 · General Practice Dentistry · NPI assigned 06/23/2007

$29K
Total Medicaid Paid
1,553
Total Claims
1,548
Beneficiaries
5
Codes Billed
2018-02
First Month
2019-12
Last Month

Provider Details

Authorized OfficialREDER, TERESA (PRESIDENT)
NPI Enumeration Date06/23/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 943 $16K
2019 610 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 279 279 $10K
D1120 Prophylaxis - child 329 329 $10K
D1206 Topical application of fluoride varnish 339 339 $3K
D0272 Bitewings - two radiographic images 262 262 $3K
D0230 Intraoral - periapical each additional radiographic image 344 339 $3K