Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › DIAMOND BAR › CZARINNE A FETALINO DMD INC

CZARINNE A FETALINO DMD INC

NPI: 1427120815 · DIAMOND BAR, CA 91765 · General Practice Dentistry · NPI assigned 11/14/2006

$2K
Total Medicaid Paid
104
Total Claims
104
Beneficiaries
2
Codes Billed
2018-08
First Month
2022-11
Last Month

Provider Details

Authorized OfficialFETALINO, CZARINNE (OWNER)
NPI Enumeration Date11/14/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14 $142.00
2019 14 $192.00
2020 13 $156.00
2021 51 $1K
2022 12 $209.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 78 78 $1K
D0120 Periodic oral evaluation - established patient 26 26 $990.00