Medicaid Provider Spending

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

EYNALD A. DUARTE, DDS, INC.

NPI: 1487842233 · LA MIRADA, CA 90638 · Preferred Provider Organization · NPI assigned 10/05/2007

$3K
Total Medicaid Paid
99
Total Claims
81
Beneficiaries
4
Codes Billed
2019-02
First Month
2022-09
Last Month

Provider Details

Authorized OfficialDUARTE, EYNALD (OWNER)
Parent OrganizationEYNALD A. DUARTE, DDS, INC.
NPI Enumeration Date10/05/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 26 $926.25
2021 13 $825.00
2022 60 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 29 29 $1K
D0150 Comprehensive oral evaluation - new or established patient 13 13 $825.00
D1120 Prophylaxis - child 12 12 $352.50
D0230 Intraoral - periapical each additional radiographic image 45 27 $336.15