Medicaid Provider Spending

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

PURECO DENTAL GROUP INC

NPI: 1376197954 · UPLAND, CA 91786 · Dental Clinic/Center · NPI assigned 07/31/2019

$17K
Total Medicaid Paid
1,602
Total Claims
499
Beneficiaries
5
Codes Billed
2022-03
First Month
2024-09
Last Month

Provider Details

Authorized OfficialPURECO, MARIO (OWNER/ DENTIST)
NPI Enumeration Date07/31/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 289 $5K
2023 469 $3K
2024 844 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 92 92 $6K
D0230 Intraoral - periapical each additional radiographic image 1,333 232 $5K
D1110 Prophylaxis - adult 28 28 $2K
D0120 Periodic oral evaluation - established patient 30 29 $2K
D0272 Bitewings - two radiographic images 119 118 $1K