Medicaid Provider Spending

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

COASTLINE DENTAL CARE

NPI: 1447463146 · HUNTINGTON BEACH, CA 92649 · General Practice Dentistry · NPI assigned 05/08/2007

$18K
Total Medicaid Paid
398
Total Claims
356
Beneficiaries
7
Codes Billed
2018-04
First Month
2022-03
Last Month

Provider Details

Authorized OfficialDONG, MICHAEL (DENTIST)
NPI Enumeration Date05/08/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25 $549.00
2019 59 $4K
2020 72 $3K
2021 229 $10K
2022 13 $980.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 109 109 $7K
D0210 Intraoral - complete series of radiographic images 88 88 $4K
D0120 Periodic oral evaluation - established patient 67 64 $3K
D1110 Prophylaxis - adult 24 24 $2K
D1120 Prophylaxis - child 44 43 $1K
D0350 54 16 $499.20
D1208 Topical application of fluoride, excluding varnish 12 12 $96.00