Medicaid Provider Spending

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

RA AMADOR DENTAL GROUP DDS.INC.

NPI: 1497248116 · WHITTIER, CA 90604 · General Practice Dentistry · NPI assigned 06/07/2018

$558.90
Total Medicaid Paid
141
Total Claims
25
Beneficiaries
1
Codes Billed
2022-04
First Month
2023-03
Last Month

Provider Details

Authorized OfficialAMADOR, ANN ROSELLE (PRESIDENT)
NPI Enumeration Date06/07/2018

Related Entities

Other providers sharing the same authorized official: AMADOR, ANN ROSELLE

ProviderCityStateTotal Paid
ROSELLE A. AMADORDDS.INC. PICO RIVERA CA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 75 $295.65
2023 66 $263.25

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 141 25 $558.90