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RIVER OAK DENTAL SPA DENTAL OFFICE OF TOURTLOTTE DENTAL CORPORATION
RIVER OAK DENTAL SPA DENTAL OFFICE OF TOURTLOTTE DENTAL CORPORATION
NPI: 1245342542
· OAKDALE, CA 95361
· 1223G0001X
$824K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
9,081 |
$200K |
| 2019 |
6,734 |
$148K |
| 2020 |
4,615 |
$100K |
| 2021 |
4,137 |
$96K |
| 2022 |
4,025 |
$135K |
| 2023 |
2,813 |
$86K |
| 2024 |
1,926 |
$59K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
|
4,369 |
4,348 |
$219K |
| D1120 |
|
5,361 |
5,342 |
$192K |
| D2392 |
|
1,750 |
1,140 |
$115K |
| D0274 |
|
3,474 |
3,464 |
$73K |
| D1206 |
|
4,024 |
4,010 |
$42K |
| D0230 |
|
9,319 |
4,589 |
$37K |
| D2391 |
|
660 |
459 |
$35K |
| D0210 |
|
704 |
697 |
$31K |
| D2393 |
|
238 |
185 |
$19K |
| D2150 |
|
233 |
182 |
$16K |
| D1208 |
|
1,320 |
1,315 |
$12K |
| D0272 |
|
680 |
680 |
$8K |
| D2160 |
|
84 |
71 |
$7K |
| D0350 |
|
683 |
420 |
$6K |
| D2330 |
|
67 |
51 |
$5K |
| D7140 |
|
65 |
35 |
$4K |
| D1352 |
|
89 |
28 |
$2K |
| D9430 |
|
58 |
52 |
$2K |
| D0220 |
|
93 |
86 |
$958.00 |
| D0150 |
|
15 |
13 |
$455.00 |
| D1999 |
|
45 |
41 |
$26.00 |