Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › POMONA › PRIBADI, DARMAWAN

PRIBADI, DARMAWAN

NPI: 1508908534 · POMONA, CA 91766 · 122300000X

$62K
Total Medicaid Paid
2,819
Total Claims
2,725
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 569 $10K
2019 754 $16K
2020 433 $10K
2021 410 $8K
2022 351 $11K
2023 119 $2K
2024 183 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 412 410 $20K
D1110 155 155 $12K
D0230 1,158 1,134 $11K
D0272 733 730 $9K
D1120 199 199 $6K
D1351 74 14 $2K
D0150 14 14 $924.00
D0220 74 69 $854.00