CARREL BALDERSTON DDS INC
NPI: 1144766528
· CHICO, CA 95926
· Dental Clinic/Center
· NPI assigned 01/10/2017
$488K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,781 |
$245K |
| 2019 |
1,052 |
$76K |
| 2020 |
1,001 |
$73K |
| 2021 |
1,102 |
$92K |
| 2022 |
48 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
3,698 |
274 |
$207K |
| D5130 |
|
157 |
155 |
$95K |
| D5140 |
|
109 |
106 |
$64K |
| D5850 |
|
691 |
674 |
$47K |
| D5851 |
|
533 |
522 |
$36K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
409 |
403 |
$23K |
| D0330 |
Panoramic radiographic image |
360 |
355 |
$10K |
| D5750 |
|
27 |
27 |
$5K |