Medicaid Provider Spending

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

PAZ DENTAL GROUP INC

NPI: 1417490004 · COLTON, CA 92324 · Dentist · NPI assigned 11/30/2016

$17K
Total Medicaid Paid
926
Total Claims
428
Beneficiaries
9
Codes Billed
2018-02
First Month
2019-06
Last Month

Provider Details

Authorized OfficialPAZ-CASANOVA, RODY (CEO)
NPI Enumeration Date11/30/2016

Related Entities

Other providers sharing the same authorized official: PAZ-CASANOVA, RODY

ProviderCityStateTotal Paid
DENTAL CORPORATION OF R. PAZ, DDS., INC BALDWIN PARK CA $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 479 $6K
2019 447 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 128 126 $6K
D2391 Resin-based composite - one surface, posterior, primary or permanent 101 30 $5K
D0350 262 63 $2K
D0210 Intraoral - complete series of radiographic images 32 32 $1K
D0230 Intraoral - periapical each additional radiographic image 290 65 $1K
D1120 Prophylaxis - child 15 15 $450.00
D0272 Bitewings - two radiographic images 38 37 $360.00
D1208 Topical application of fluoride, excluding varnish 35 35 $256.00
D0120 Periodic oral evaluation - established patient 25 25 $252.00