Medicaid Provider Spending

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

PADILLA PEDIATRIC DENTAL PRACTICE, INC

NPI: 1376309856 · ESCALON, CA 95320 · Dental Clinic/Center · NPI assigned 02/22/2024

$3K
Total Medicaid Paid
82
Total Claims
81
Beneficiaries
4
Codes Billed
2024-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPADILLA, MIGUEL (OWNER/CEO)
NPI Enumeration Date02/22/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 82 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 27 27 $2K
D1120 Prophylaxis - child 26 26 $1K
D1206 Topical application of fluoride varnish 15 15 $259.00
D0220 Intraoral - periapical first radiographic image 14 13 $168.00