Medicaid Provider Spending

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

FALAMACK ZALTASH D.D.S INC.,

NPI: 1528105319 · GLENDORA, CA 91741 · Dentist · NPI assigned 01/31/2007

$21K
Total Medicaid Paid
799
Total Claims
610
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialZALTASH, FALAMACK (DOCTOR)
NPI Enumeration Date01/31/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 228 $3K
2019 232 $5K
2020 13 $585.00
2021 38 $686.25
2023 205 $9K
2024 83 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 286 285 $13K
D1110 Prophylaxis - adult 41 41 $2K
D1120 Prophylaxis - child 51 49 $2K
D0230 Intraoral - periapical each additional radiographic image 333 147 $1K
D0274 Bitewings - four radiographic images 51 51 $1K
D0210 Intraoral - complete series of radiographic images 12 12 $480.00
D0150 Comprehensive oral evaluation - new or established patient 13 13 $417.00
D9430 12 12 $384.00