Medicaid Provider Spending

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

CHRISTOPHER PHAM DENTAL CORPORATION

NPI: 1467105205 · CHULA VISTA, CA 91910 · General Practice Dentistry · NPI assigned 02/01/2022

$43K
Total Medicaid Paid
1,021
Total Claims
962
Beneficiaries
8
Codes Billed
2022-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSHERMAN, MCKENNA (DIRECTOR OF OPERATIONS)
NPI Enumeration Date02/01/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 68 $4K
2023 223 $11K
2024 730 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 248 248 $16K
D0210 Intraoral - complete series of radiographic images 240 240 $11K
D1110 Prophylaxis - adult 99 99 $9K
D1320 183 183 $3K
D1206 Topical application of fluoride varnish 146 146 $2K
D0350 60 14 $576.00
D0220 Intraoral - periapical first radiographic image 13 13 $156.00
D0230 Intraoral - periapical each additional radiographic image 32 19 $129.60