Medicaid Provider Spending

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

KAGALWALA PROFESSIONAL DENTAL INC.

NPI: 1356631014 · MISSION VIEJO, CA 92691 · General Practice Dentistry · NPI assigned 04/14/2011

$6K
Total Medicaid Paid
279
Total Claims
183
Beneficiaries
6
Codes Billed
2020-10
First Month
2024-08
Last Month

Provider Details

Authorized OfficialKAGALWALA, AMI (PRESIDENT)
NPI Enumeration Date04/14/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 30 $2K
2022 109 $1K
2024 140 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 33 33 $2K
D0210 Intraoral - complete series of radiographic images 26 26 $1K
D1120 Prophylaxis - child 16 16 $810.00
D1208 Topical application of fluoride, excluding varnish 53 53 $769.00
D0230 Intraoral - periapical each additional radiographic image 123 27 $508.35
D0272 Bitewings - two radiographic images 28 28 $326.00