Medicaid Provider Spending

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

RAUL A. RODRIGUEZ DDS INC.

NPI: 1558569871 · DOWNEY, CA 90240 · Dentist · NPI assigned 07/09/2007

$64K
Total Medicaid Paid
7,055
Total Claims
2,656
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, RAUL (PRESIDENT)
NPI Enumeration Date07/09/2007

Related Entities

Other providers sharing the same authorized official: RODRIGUEZ, RAUL

ProviderCityStateTotal Paid
NATIONAL HEALTH TRANSPORT INC. MIAMI FL $4.52M
RAUL A. RODRIGUEZ DDS INC. BLOOMINGTON CA $167K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,121 $21K
2019 1,514 $15K
2020 1,392 $12K
2021 977 $9K
2022 390 $3K
2023 350 $2K
2024 311 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 5,400 1,005 $22K
D0120 Periodic oral evaluation - established patient 429 429 $18K
D0274 Bitewings - four radiographic images 472 472 $10K
D1120 Prophylaxis - child 241 241 $7K
D1208 Topical application of fluoride, excluding varnish 430 430 $4K
D0150 Comprehensive oral evaluation - new or established patient 54 54 $2K
D0210 Intraoral - complete series of radiographic images 14 13 $560.00
D0350 15 12 $205.68