Medicaid Provider Spending

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

VIVIAN C. BANARIA, DMD, INC.

NPI: 1417391616 · LOS ANGELES, CA 90029 · General Practice Dentistry · NPI assigned 04/18/2013

$86K
Total Medicaid Paid
4,993
Total Claims
2,170
Beneficiaries
11
Codes Billed
2018-03
First Month
2024-09
Last Month

Provider Details

Authorized OfficialBANARIA, VIVIAN (PRESIDENT)
NPI Enumeration Date04/18/2013

Related Entities

Other providers sharing the same authorized official: BANARIA, VIVIAN

ProviderCityStateTotal Paid
BANARIA DENTAL GROUP INC WEST COVINA CA $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 372 $5K
2019 567 $4K
2020 663 $8K
2021 596 $10K
2022 670 $13K
2023 984 $22K
2024 1,141 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 430 425 $38K
D0120 Periodic oral evaluation - established patient 262 262 $18K
D0230 Intraoral - periapical each additional radiographic image 3,543 727 $14K
D1206 Topical application of fluoride varnish 380 380 $6K
D0150 Comprehensive oral evaluation - new or established patient 92 91 $6K
D1208 Topical application of fluoride, excluding varnish 111 111 $1K
D0272 Bitewings - two radiographic images 94 94 $1K
D1120 Prophylaxis - child 27 27 $810.00
D0210 Intraoral - complete series of radiographic images 16 16 $720.00
D9430 14 13 $448.00
D0220 Intraoral - periapical first radiographic image 24 24 $276.00