Medicaid Provider Spending

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

UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL OF DENTISTRY

NPI: 1154009629 · SAN FRANCISCO, CA 94103 · Dentist · NPI assigned 07/06/2023

$64K
Total Medicaid Paid
1,593
Total Claims
1,573
Beneficiaries
3
Codes Billed
2023-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPEGUEROS, ED (ASST. DEAN BUDGET & FIN ADMIN)
Parent OrganizationUNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL OF DENTISTRY
NPI Enumeration Date07/06/2023

Related Entities

Other providers sharing the same authorized official: PEGUEROS, ED

ProviderCityStateTotal Paid
UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL OF DENTISTRY SAN FRANCISCO CA $3.99M
UNIVERSITY OF THE PACIFIC SAN FRANCISCO CA $1.99M
UNIVERSITY OF THE PACIFIC SAN FRANCISCO CA $1.78M
UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL OF DENTISTRY SAN FRANCISCO CA $1.03M
UNIVERSITY OF THE PACIFIC SAN FRANCISCO CA $709K
UNIVERSITY OF THE PACIFIC UNION CITY CA $264K
UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL OF DENTISTRY SAN FRANCISCO CA $245K
UNIVERSITY OF THE PACIFIC SAN FRANCISCO CA $83K
UNIVERSITY OF THE PACIFIC SAN FRANCISCO CA $21K
UNIVERSITY OF THE PACIFIC UNION CITY CA $16K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 610 $26K
2024 983 $38K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 425 425 $38K
D9999 Unspecified adjunctive procedure, by report 760 740 $19K
D1206 Topical application of fluoride varnish 408 408 $7K