Medicaid Provider Spending

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

DAVID F MENDOZA DMD

NPI: 1518208776 · WICHITA, KS 67211 · General Practice Dentistry · NPI assigned 03/12/2013

$10K
Total Medicaid Paid
384
Total Claims
363
Beneficiaries
5
Codes Billed
2018-02
First Month
2019-10
Last Month

Provider Details

Authorized OfficialMENDOZA, DAVID (PRESIDENT)
NPI Enumeration Date03/12/2013

Related Entities

Other providers sharing the same authorized official: MENDOZA, DAVID

ProviderCityStateTotal Paid
OHIO VALLEY AMBULATORY SURGERY CENTER, LLC BELPRE OH $68K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 205 $5K
2019 179 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0274 Bitewings - four radiographic images 133 130 $4K
D0120 Periodic oral evaluation - established patient 122 119 $2K
D1110 Prophylaxis - adult 47 43 $2K
D0140 Limited oral evaluation - problem focused 52 43 $1K
D1208 Topical application of fluoride, excluding varnish 30 28 $510.00