Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › EL CAJON › DR RAYMOND MANSOUR A PROFESSIONAL DENTAL CORP

DR RAYMOND MANSOUR A PROFESSIONAL DENTAL CORP

NPI: 1366908527 · EL CAJON, CA 92020 · 261QD0000X

$52K
Total Medicaid Paid
1,587
Total Claims
1,512
Beneficiaries
10
Codes Billed
2020-12
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 80 $3K
2021 505 $17K
2022 322 $12K
2023 429 $14K
2024 251 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D4910 250 247 $19K
D0150 196 196 $13K
D1208 608 607 $6K
D9430 144 140 $4K
D0210 93 92 $4K
D1110 37 37 $3K
D0330 41 40 $925.00
D0120 12 12 $880.00
D0230 188 125 $648.32
D0220 18 16 $216.00