Medicaid Provider Spending

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

MARIO J CASTELLANOS DDS

NPI: 1205375128 · RANCHO CUCAMONGA, CA 91730 · Dentist · NPI assigned 02/13/2017

$2K
Total Medicaid Paid
57
Total Claims
54
Beneficiaries
2
Codes Billed
2018-04
First Month
2019-12
Last Month

Provider Details

Authorized OfficialCASTELLANOS, MARIO (OWNER)
NPI Enumeration Date02/13/2017

Related Entities

Other providers sharing the same authorized official: CASTELLANOS, MARIO

ProviderCityStateTotal Paid
MARIO J CASTELLANOS JR DDS INC HEMET CA $1.30M
CASTELLANOS DDS INC FONTANA CA $425K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26 $1K
2019 31 $595.35

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 26 25 $1K
D0230 Intraoral - periapical each additional radiographic image 31 29 $595.35