Medicaid Provider Spending

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

ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

NPI: 1356564173 · NAPA, CA 94558 · General Practice Dentistry · NPI assigned 04/10/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more

$2.55M
Total Medicaid Paid
122,858
Total Claims
90,819
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
Parent OrganizationST JOSEPH HEALTH SYSTEM
NPI Enumeration Date04/10/2007

Related Entities

Other providers sharing the same authorized official: ANDERSON, DONALD

ProviderCityStateTotal Paid
PROVIDENCE HEALTH & SERVICES WASHINGTON ANCHORAGE AK $161.45M
KADLEC REGIONAL MEDICAL CENTER RICHLAND WA $151.60M
SWEDISH EDMONDS EDMONDS WA $30.06M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC EUREKA CA $28.68M
PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA TORRANCE CA $27.29M
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA SAN PEDRO CA $24.26M
PROVIDENCE HEALTH & SERVICES - WASHINGTON TUKWILA WA $21.98M
SWEDISH HEALTH SERVICES SEATTLE WA $21.06M
PROVIDENCE HEALTH & SERVICES WASHINGTON KODIAK AK $11.39M
SWEDISH HEALTH SERVICES SEATTLE WA $11.08M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC FORTUNA CA $8.55M
COLLABRIA CARE NAPA CA $8.20M
PROVIDENCE HEALTH & SERVICES OREGON SEASIDE OR $8.01M
PROVIDENCE HEALTH & SERVICES- WASHINGTON SPOKANE WA $8.01M
HOSPICE OF LUBBOCK INC LUBBOCK TX $6.48M
PROVIDENCE SAINT JOHN'S HEALTH CENTER SANTA MONICA CA $5.52M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.55M
COLLABRIA CARE NAPA CA $4.05M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.01M
METHODIST HOSPITAL PLAINVIEW TEXAS PLAINVIEW TX $4.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 22,127 $347K
2019 20,022 $352K
2020 16,595 $276K
2021 18,433 $330K
2022 14,995 $429K
2023 16,406 $419K
2024 14,280 $392K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 14,244 14,196 $769K
D1120 Prophylaxis - child 15,960 15,912 $613K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4,022 3,128 $267K
D1208 Topical application of fluoride, excluding varnish 16,182 16,134 $204K
D0230 Intraoral - periapical each additional radiographic image 38,977 10,554 $158K
D0274 Bitewings - four radiographic images 7,053 7,041 $149K
D1351 Sealant - per tooth 4,380 2,393 $118K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,281 1,090 $69K
D0272 Bitewings - two radiographic images 3,541 3,530 $41K
D0150 Comprehensive oral evaluation - new or established patient 532 531 $33K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 399 363 $32K
D0145 Oral evaluation for a patient under three years of age 430 430 $23K
D0210 Intraoral - complete series of radiographic images 450 447 $21K
D9430 563 546 $18K
D0220 Intraoral - periapical first radiographic image 1,202 1,185 $14K
D1320 867 854 $7K
D7140 Extraction, erupted tooth or exposed root 98 74 $6K
D0350 1,652 1,405 $5K
D1110 Prophylaxis - adult 12 12 $1K
D0270 80 79 $393.75
D1330 10,906 10,890 $0.00
D3120 27 25 $0.00