Medicaid Provider Spending

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

PRIORITY DENTAL CARE,DENTAL OFFICE OF CHING-ROO CHI

NPI: 1477796860 · RIVERSIDE, CA 92505 · Dentist · NPI assigned 04/14/2009

$14K
Total Medicaid Paid
1,598
Total Claims
810
Beneficiaries
7
Codes Billed
2018-01
First Month
2020-06
Last Month

Provider Details

Authorized OfficialCHI, CHING-ROO (DENTIST)
NPI Enumeration Date04/14/2009

Related Entities

Other providers sharing the same authorized official: CHI, CHING-ROO

ProviderCityStateTotal Paid
COMMUNITY DENTAL OF DR. CHI MORENO VALLEY CA $44K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,071 $10K
2019 441 $4K
2020 86 $348.30

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 155 148 $4K
D1120 Prophylaxis - child 117 109 $3K
D0230 Intraoral - periapical each additional radiographic image 1,079 316 $3K
D0150 Comprehensive oral evaluation - new or established patient 40 40 $3K
D0272 Bitewings - two radiographic images 181 171 $752.00
D1208 Topical application of fluoride, excluding varnish 14 14 $114.00
D0210 Intraoral - complete series of radiographic images 12 12 $0.00