Medicaid Provider Spending

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

RAYFELD & TREYSTMAN, A DENTAL CORPORATION

NPI: 1538286760 · COMMERCE, CA 90022 · Dentist · NPI assigned 03/23/2007

$87K
Total Medicaid Paid
3,516
Total Claims
1,949
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTREYSTMAN, MARK (PRESIDENT)
NPI Enumeration Date03/23/2007

Related Entities

Other providers sharing the same authorized official: TREYSTMAN, MARK

ProviderCityStateTotal Paid
MARK TREYSTMAN DDS INC LOS ANGELES CA $169K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,201 $21K
2019 522 $13K
2020 134 $2K
2021 345 $2K
2022 210 $4K
2023 367 $11K
2024 737 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2740 Crown - porcelain/ceramic 36 28 $17K
D0120 Periodic oral evaluation - established patient 331 331 $15K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 142 63 $9K
D1110 Prophylaxis - adult 127 126 $9K
D0230 Intraoral - periapical each additional radiographic image 1,809 380 $8K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 84 43 $7K
D1208 Topical application of fluoride, excluding varnish 539 537 $6K
D0150 Comprehensive oral evaluation - new or established patient 65 65 $4K
D4910 45 45 $3K
D0274 Bitewings - four radiographic images 165 165 $3K
D1120 Prophylaxis - child 90 90 $3K
D2952 15 12 $2K
D1206 Topical application of fluoride varnish 26 26 $432.00
D0250 16 12 $330.00
D1999 12 12 $20.00
D1330 14 14 $0.00