Medicaid Provider Spending

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

TOMA&PETROS DDS INC

NPI: 1194885608 · SAN DIEGO, CA 92108 · General Practice Dentistry · NPI assigned 12/12/2006

$94K
Total Medicaid Paid
2,665
Total Claims
1,780
Beneficiaries
11
Codes Billed
2019-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPETROS, DHAFIR (DENTIST)
NPI Enumeration Date12/12/2006

Related Entities

Other providers sharing the same authorized official: PETROS, DHAFIR

ProviderCityStateTotal Paid
TOMA, PETROS & SIMHAIRY DDS INC. EL CAJON CA $2.10M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 38 $2K
2020 67 $4K
2021 302 $19K
2022 322 $12K
2023 775 $23K
2024 1,161 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 440 440 $29K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 261 141 $18K
D1110 Prophylaxis - adult 196 195 $17K
D0210 Intraoral - complete series of radiographic images 217 217 $10K
D0120 Periodic oral evaluation - established patient 85 84 $7K
D0350 630 254 $6K
D1208 Topical application of fluoride, excluding varnish 222 222 $3K
D0230 Intraoral - periapical each additional radiographic image 523 138 $2K
D0274 Bitewings - four radiographic images 66 65 $1K
D4910 12 12 $904.75
D9430 13 12 $416.00