Medicaid Provider Spending

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

THET SWE DDS A PROFESSIONAL CORPORATION

NPI: 1336454925 · EL MONTE, CA 91733 · Dental Clinic/Center · NPI assigned 08/09/2010

$53K
Total Medicaid Paid
4,074
Total Claims
2,499
Beneficiaries
6
Codes Billed
2018-01
First Month
2021-04
Last Month

Provider Details

Authorized OfficialSWE, THET (PRESIDENT)
NPI Enumeration Date08/09/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,569 $22K
2019 1,575 $21K
2020 354 $4K
2021 576 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 471 470 $18K
D0230 Intraoral - periapical each additional radiographic image 2,180 637 $13K
D1120 Prophylaxis - child 420 419 $12K
D1208 Topical application of fluoride, excluding varnish 561 558 $5K
D0272 Bitewings - two radiographic images 405 403 $5K
D0350 37 12 $307.20