Medicaid Provider Spending

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

REFINED WHITE SMILES DENTAL HYGIENE PRACTICE OF ROBERT AVILES RDHAP

NPI: 1245931104 · FONTANA, CA 92336 · Dental Hygienist · NPI assigned 03/16/2023

$3K
Total Medicaid Paid
175
Total Claims
93
Beneficiaries
4
Codes Billed
2024-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialAVILES, ROBERT (OWNER)
NPI Enumeration Date03/16/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 175 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0350 109 32 $854.40
D0210 Intraoral - complete series of radiographic images 17 17 $816.00
D9410 22 17 $616.00
D1208 Topical application of fluoride, excluding varnish 27 27 $386.00