Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SOUTH GATE › CARMONA DENTAL INC.

CARMONA DENTAL INC.

NPI: 1548545866 · SOUTH GATE, CA 90280 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/18/2011

$1K
Total Medicaid Paid
212
Total Claims
51
Beneficiaries
2
Codes Billed
2019-10
First Month
2023-02
Last Month

Provider Details

Authorized OfficialCARMONA, ENRIQUETA (PRESIDENT)
NPI Enumeration Date10/18/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 54 $222.75
2020 114 $689.25
2023 44 $178.20

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 171 39 $696.60
D0350 41 12 $393.60