Medicaid Provider Spending

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

C B PATEL DDS INC

NPI: 1477126928 · UPLAND, CA 91786 · Dental Clinic/Center · NPI assigned 07/22/2021

$31K
Total Medicaid Paid
1,089
Total Claims
719
Beneficiaries
8
Codes Billed
2022-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPATEL, CHANDRAKANNT (CEO)
NPI Enumeration Date07/22/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 147 $8K
2024 942 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 237 237 $16K
D0210 Intraoral - complete series of radiographic images 173 173 $8K
D9430 90 85 $3K
D0230 Intraoral - periapical each additional radiographic image 480 144 $2K
D1110 Prophylaxis - adult 15 15 $1K
D1120 Prophylaxis - child 18 18 $630.00
D1208 Topical application of fluoride, excluding varnish 33 33 $387.00
D0350 43 14 $384.00