Medicaid Provider Spending

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

RUPAL JAVIA DDS A PROFESSIONAL DENTAL CORPORATION

NPI: 1366981714 · WESTLAKE VILLAGE, CA 91361 · Dental Clinic/Center · NPI assigned 02/17/2017

$7K
Total Medicaid Paid
206
Total Claims
185
Beneficiaries
5
Codes Billed
2023-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialJAVIA, RUPAL (OWNER DENTIST)
NPI Enumeration Date02/17/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 84 $4K
2024 122 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 52 52 $3K
D1208 Topical application of fluoride, excluding varnish 84 84 $1K
D0210 Intraoral - complete series of radiographic images 25 25 $1K
D9430 16 12 $512.00
D0230 Intraoral - periapical each additional radiographic image 29 12 $113.40