Medicaid Provider Spending

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

FELDKAMP CAL SELECT DENTAL GROUP, INC.

NPI: 1417574401 · RIVERSIDE, CA 92505 · General Practice Dentistry · NPI assigned 06/25/2020

$7K
Total Medicaid Paid
327
Total Claims
186
Beneficiaries
6
Codes Billed
2023-03
First Month
2024-01
Last Month

Provider Details

Authorized OfficialFELDKAMP III, IRVING (OWNER)
NPI Enumeration Date06/25/2020

Related Entities

Other providers sharing the same authorized official: FELDKAMP III, IRVING

ProviderCityStateTotal Paid
FELDKAMP CAL SELECT DENTAL GROUP, INC. SAN BERNARDINO CA $2.94M
FELDKAMP CAL SELECT DENTAL GROUP, INC. HESPERIA CA $715K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 219 $5K
2024 108 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 29 29 $2K
D0210 Intraoral - complete series of radiographic images 27 27 $1K
D0230 Intraoral - periapical each additional radiographic image 193 52 $1K
D1110 Prophylaxis - adult 12 12 $1K
D1208 Topical application of fluoride, excluding varnish 42 42 $642.00
D0274 Bitewings - four radiographic images 24 24 $496.80