Medicaid Provider Spending

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

CARBAJAL, M

NPI: 1194777532 · ONTARIO, CA 91762 · General Practice Dentistry · NPI assigned 05/16/2006

$6K
Total Medicaid Paid
116
Total Claims
90
Beneficiaries
3
Codes Billed
2019-03
First Month
2020-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 50 $3K
2020 66 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 39 39 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 39 13 $2K
D0210 Intraoral - complete series of radiographic images 38 38 $2K