Medicaid Provider Spending

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

SD XRAY LLC

NPI: 1417146903 · LA MESA, CA 91941 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · NPI assigned 10/19/2007

$7K
Total Medicaid Paid
226
Total Claims
203
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-09
Last Month

Provider Details

Authorized OfficialCHUNG, BEAU (MEDICAL DIRECTOR)
NPI Enumeration Date10/19/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 226 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
R0070 Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen 110 99 $5K
Q0092 Set-up portable x-ray equipment 98 87 $1K
71045 Radiologic examination, chest; single view 18 17 $263.17