Medicaid Provider Spending

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

CASTRO DENTAL OFFICE, P.C

NPI: 1528450319 · FREMONT, CA 94539 · Dentist · NPI assigned 03/03/2015

$7K
Total Medicaid Paid
233
Total Claims
233
Beneficiaries
4
Codes Billed
2018-01
First Month
2020-10
Last Month

Provider Details

Authorized OfficialCASTRO, ELSA (CEO)
NPI Enumeration Date03/03/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 101 $3K
2019 90 $3K
2020 42 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 81 81 $4K
D1208 Topical application of fluoride, excluding varnish 125 125 $1K
D0210 Intraoral - complete series of radiographic images 14 14 $672.00
D1110 Prophylaxis - adult 13 13 $320.00