Medicaid Provider Spending

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

RICA ADORABLE DDS INC.

NPI: 1497304125 · WOODLAND HILLS, CA 91367 · Dental Clinic/Center · NPI assigned 09/05/2019

$9K
Total Medicaid Paid
449
Total Claims
228
Beneficiaries
7
Codes Billed
2020-09
First Month
2024-04
Last Month

Provider Details

Authorized OfficialADORABLE, RICA (PRESIDENT)
NPI Enumeration Date09/05/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 172 $3K
2021 173 $3K
2022 79 $548.10
2024 25 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 39 39 $4K
D0150 Comprehensive oral evaluation - new or established patient 29 29 $2K
D0230 Intraoral - periapical each additional radiographic image 264 43 $1K
D0274 Bitewings - four radiographic images 42 42 $885.60
D0120 Periodic oral evaluation - established patient 13 13 $835.00
D1208 Topical application of fluoride, excluding varnish 31 31 $430.00
D1330 31 31 $0.00