Medicaid Provider Spending

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

AVILA, VICTORIANO

NPI: 1245431246 · DOWNEY, CA 90242 · Dentist · NPI assigned 05/29/2007

$11K
Total Medicaid Paid
585
Total Claims
568
Beneficiaries
7
Codes Billed
2018-02
First Month
2018-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 585 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 105 103 $4K
D1208 Topical application of fluoride, excluding varnish 99 97 $2K
D0120 Periodic oral evaluation - established patient 86 85 $2K
D0150 Comprehensive oral evaluation - new or established patient 43 39 $863.05
D0220 Intraoral - periapical first radiographic image 125 121 $672.00
D0274 Bitewings - four radiographic images 30 29 $448.80
D0230 Intraoral - periapical each additional radiographic image 97 94 $361.00