Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HAYWARD
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SAN LUIS, EGDON
NPI: 1396897278 · HAYWARD, CA 94541 ·
Dentist
· NPI assigned 01/18/2007
$0.00
Total Medicaid Paid
27
Total Claims
26
Beneficiaries
2
Codes Billed
2020-12
First Month
2020-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
27
$0.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0220
Intraoral - periapical first radiographic image
13
12
$0.00
D9430
14
14
$0.00