Medicaid Provider Spending

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

MARIA ANA CANUTO DDS INC

NPI: 1447640776 · NEWARK, CA 94560 · Dental Clinic/Center · NPI assigned 01/26/2015

$17K
Total Medicaid Paid
1,276
Total Claims
683
Beneficiaries
8
Codes Billed
2018-01
First Month
2020-12
Last Month

Provider Details

Authorized OfficialCANUTO, MARIA ANA (CEO)
NPI Enumeration Date01/26/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 806 $10K
2019 219 $4K
2020 251 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 83 81 $5K
D0120 Periodic oral evaluation - established patient 112 109 $4K
D0230 Intraoral - periapical each additional radiographic image 866 285 $3K
D1120 Prophylaxis - child 85 83 $2K
D0274 Bitewings - four radiographic images 70 68 $1K
D1110 Prophylaxis - adult 30 28 $1K
D0220 Intraoral - periapical first radiographic image 16 15 $192.00
D1208 Topical application of fluoride, excluding varnish 14 14 $142.00