Medicaid Provider Spending

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

THOMAS GALAPON SALACUP DMD INC

NPI: 1407486988 · VALLEJO, CA 94590 · General Practice Dentistry · NPI assigned 01/23/2020

$64K
Total Medicaid Paid
3,425
Total Claims
2,161
Beneficiaries
7
Codes Billed
2020-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSALACUP, THOMAS (OWNER)
NPI Enumeration Date01/23/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 540 $12K
2021 836 $12K
2022 880 $20K
2023 634 $11K
2024 535 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 241 241 $18K
D0150 Comprehensive oral evaluation - new or established patient 196 196 $13K
D1110 Prophylaxis - adult 94 93 $8K
D0274 Bitewings - four radiographic images 396 395 $8K
D1208 Topical application of fluoride, excluding varnish 586 585 $8K
D0230 Intraoral - periapical each additional radiographic image 1,859 598 $8K
D1120 Prophylaxis - child 53 53 $2K