Medicaid Provider Spending

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

GLENDA JOSON DDS PROFESSIONAL CORPORATION

NPI: 1255598710 · SAN DIMAS, CA 91773 · General Practice Dentistry · NPI assigned 05/21/2008

$58K
Total Medicaid Paid
2,729
Total Claims
1,885
Beneficiaries
12
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJOSON, GLENDA (PRESIDENT)
NPI Enumeration Date05/21/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 38 $354.00
2019 39 $532.00
2020 333 $6K
2021 307 $7K
2022 916 $15K
2023 742 $18K
2024 354 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9430 528 480 $17K
D0120 Periodic oral evaluation - established patient 168 168 $12K
D1208 Topical application of fluoride, excluding varnish 509 507 $7K
D1110 Prophylaxis - adult 64 64 $5K
D0150 Comprehensive oral evaluation - new or established patient 69 69 $5K
D0350 467 157 $4K
D0230 Intraoral - periapical each additional radiographic image 577 99 $2K
D1120 Prophylaxis - child 55 55 $2K
D1206 Topical application of fluoride varnish 156 156 $2K
D0210 Intraoral - complete series of radiographic images 16 16 $768.00
D0274 Bitewings - four radiographic images 28 28 $586.80
D1999 92 86 $46.00