Medicaid Provider Spending

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

PRINCESITA A. BILLEDO D.D.S., INC

NPI: 1376722595 · ONTARIO, CA 91762 · General Practice Dentistry · NPI assigned 10/25/2007

$6K
Total Medicaid Paid
500
Total Claims
381
Beneficiaries
8
Codes Billed
2018-02
First Month
2024-07
Last Month

Provider Details

Authorized OfficialBILLEDO, PRINCESITA (PRESIDENT)
NPI Enumeration Date10/25/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 139 $1K
2019 162 $2K
2020 13 $170.00
2022 85 $893.20
2023 61 $543.15
2024 40 $596.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 184 183 $2K
D1110 Prophylaxis - adult 13 13 $1K
D0230 Intraoral - periapical each additional radiographic image 224 107 $886.20
D1120 Prophylaxis - child 12 12 $360.00
D0220 Intraoral - periapical first radiographic image 26 25 $288.00
D0274 Bitewings - four radiographic images 12 12 $259.20
D0120 Periodic oral evaluation - established patient 12 12 $252.00
D0272 Bitewings - two radiographic images 17 17 $204.00