MIA LARISSA ANCHETA, DDS, A DENTAL CORPORATION
NPI: 1306398680
· SOUTH GATE, CA 90280
· 261QD0000X
$1.03M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,296 |
$134K |
| 2019 |
8,903 |
$120K |
| 2020 |
6,345 |
$82K |
| 2021 |
8,011 |
$115K |
| 2022 |
7,969 |
$163K |
| 2023 |
9,032 |
$183K |
| 2024 |
11,420 |
$231K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
4,056 |
4,048 |
$236K |
| D1120 |
|
4,455 |
4,435 |
$167K |
| D0230 |
|
33,988 |
6,479 |
$138K |
| D0150 |
|
1,566 |
1,561 |
$90K |
| D1110 |
|
1,017 |
1,013 |
$87K |
| D1208 |
|
5,715 |
5,692 |
$66K |
| D0274 |
|
2,017 |
2,012 |
$41K |
| D0272 |
|
2,727 |
2,719 |
$32K |
| D2150 |
|
394 |
236 |
$26K |
| D0220 |
|
2,118 |
1,953 |
$25K |
| D2392 |
|
371 |
207 |
$25K |
| D0350 |
|
2,041 |
857 |
$17K |
| D1351 |
|
638 |
161 |
$16K |
| D2751 |
|
33 |
30 |
$16K |
| D2391 |
|
226 |
123 |
$12K |
| D4341 |
|
152 |
40 |
$10K |
| D4910 |
|
95 |
95 |
$7K |
| D7240 |
|
26 |
12 |
$6K |
| D1310 |
|
55 |
55 |
$2K |
| D1206 |
|
143 |
142 |
$2K |
| D9430 |
|
64 |
58 |
$2K |
| D2160 |
|
14 |
12 |
$1K |
| D9993 |
|
41 |
41 |
$975.00 |
| D9230 |
|
12 |
12 |
$420.00 |
| D9999 |
|
12 |
12 |
$38.64 |