Medicaid Provider Spending

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

COMMUNITY DENTAL SERVICES

NPI: 1265504955 · FOLSOM, CA 95630 · Dentist · NPI assigned 11/15/2006

$6K
Total Medicaid Paid
227
Total Claims
213
Beneficiaries
5
Codes Billed
2018-03
First Month
2018-09
Last Month

Provider Details

Authorized OfficialSALCIDO, ELAINE (CONTRACT SUPERVISOR)
NPI Enumeration Date11/15/2006

Related Entities

Other providers sharing the same authorized official: SALCIDO, ELAINE

ProviderCityStateTotal Paid
SUE & ASSOCIATES, PC LAS VEGAS NV $60K
COMMUNITY DENTAL SERVICES CITRUS HEIGHTS CA $28K
COMMUNITY DENTAL SERVICES ELK GROVE CA $9K
COMMUNITY DENTAL SERVICES PALMDALE CA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 227 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0210 Intraoral - complete series of radiographic images 84 82 $3K
D0150 Comprehensive oral evaluation - new or established patient 84 81 $2K
D1110 Prophylaxis - adult 24 24 $800.00
D9430 16 14 $280.00
D1206 Topical application of fluoride varnish 19 12 $30.00