Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › LOMITA › NARVAEZ DDS, A PROFESSIONAL DENTAL CORPORATION

NARVAEZ DDS, A PROFESSIONAL DENTAL CORPORATION

NPI: 1245580778 · LOMITA, CA 90717 · Exclusive Provider Organization · NPI assigned 09/12/2012

$13K
Total Medicaid Paid
691
Total Claims
440
Beneficiaries
6
Codes Billed
2018-02
First Month
2020-08
Last Month

Provider Details

Authorized OfficialNARVAEZ-MOORE, ARELVIS (PRESIDENT/CEO/DENTIST)
NPI Enumeration Date09/12/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 310 $6K
2019 234 $5K
2020 147 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 104 104 $5K
D1110 Prophylaxis - adult 40 39 $4K
D0230 Intraoral - periapical each additional radiographic image 470 220 $2K
D0150 Comprehensive oral evaluation - new or established patient 24 24 $2K
D0274 Bitewings - four radiographic images 41 41 $885.60
D1208 Topical application of fluoride, excluding varnish 12 12 $124.00