Medicaid Provider Spending

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

ROSALES, VICTOR

NPI: 1326174970 · COVINA, CA 91724 · General Practice Dentistry · NPI assigned 02/26/2007

$16K
Total Medicaid Paid
510
Total Claims
437
Beneficiary Records
7
Codes Billed
2018-03
First Month
2024-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 81 $396.00
2021 78 $3K
2022 156 $4K
2023 51 $2K
2024 144 $7K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1110 Prophylaxis - adult 63 63 $6K
D0120 Periodic oral evaluation - established patient 62 62 $3K
D1206 Topical application of fluoride varnish 194 194 $3K
D0150 Comprehensive oral evaluation - new or established patient 38 38 $2K
D0210 Intraoral - complete series of radiographic images 25 25 $1K
D0230 Intraoral - periapical each additional radiographic image 115 43 $384.31
D0274 Bitewings - four radiographic images 13 12 $198.00