Medicaid Provider Spending

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

RITA T. DERAGOBIAN DDS, INC.

NPI: 1295227288 · GLENDORA, CA 91740 · 261QD0000X

$5K
Total Medicaid Paid
137
Total Claims
118
Beneficiaries
4
Codes Billed
2019-10
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $858.00
2021 13 $384.00
2023 34 $1K
2024 77 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9430 85 67 $3K
D0150 25 25 $2K
D0210 13 13 $624.00
D0220 14 13 $168.00