Medicaid Provider Spending

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

PAUL E VILLARUBIA DDS INC

NPI: 1528433687 · ANAHEIM, CA 92801 · Exclusive Provider Organization · NPI assigned 12/01/2015

$1K
Total Medicaid Paid
74
Total Claims
44
Beneficiaries
3
Codes Billed
2019-06
First Month
2023-03
Last Month

Provider Details

Authorized OfficialVILLARUBIA, PAUL (PRESIDENT)
Parent OrganizationPAUL E VILLARUBIA DDS INC
NPI Enumeration Date12/01/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 62 $400.50
2023 12 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 12 12 $1K
D0230 Intraoral - periapical each additional radiographic image 46 16 $202.50
D1206 Topical application of fluoride varnish 16 16 $198.00