Medicaid Provider Spending

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

M LAURA DE LOPEZ DENTAL CORP

NPI: 1447431887 · POMONA, CA 91767 · 122300000X

$230K

Total Medicaid Paid

6,194

Total Claims

3,032

Beneficiaries

13

Codes Billed

2018-01

First Month

2024-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	1,411	$46K
2019	984	$37K
2020	583	$19K
2021	711	$37K
2022	766	$29K
2023	843	$26K
2024	896	$37K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D2392		1,561	651	$102K
D2391		1,079	442	$58K
D0120		317	317	$17K
D1110		191	191	$17K
D0230		2,291	693	$10K
D1120		280	279	$9K
D0150		121	121	$7K
D2393		54	38	$4K
D0274		196	196	$4K
D0210		38	38	$2K
D1208		39	39	$415.50
D0272		14	14	$168.00
D0220		13	13	$156.00