Medicaid Provider Spending

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

TSAI AND BESHAY DENTAL GROUP INC

NPI: 1568085421 · SANTA ANA, CA 92701 · Dental Clinic/Center · NPI assigned 05/26/2020

$9K
Total Medicaid Paid
252
Total Claims
179
Beneficiaries
4
Codes Billed
2021-04
First Month
2022-08
Last Month

Provider Details

Authorized OfficialBESHAY, ISAAC (PRESIDENT)
NPI Enumeration Date05/26/2020

Related Entities

Other providers sharing the same authorized official: BESHAY, ISAAC

ProviderCityStateTotal Paid
GOOD SHEPHERD MEDICAL CLINIC, INC TUSTIN CA $5.94M
SAINT YOUSTINA SANTA ANA CA $2.08M
ISAAC BESHAY M D INC. COSTA MESA CA $337K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 125 $7K
2022 127 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 93 93 $6K
D0210 Intraoral - complete series of radiographic images 48 48 $2K
D0230 Intraoral - periapical each additional radiographic image 99 26 $465.75
D1206 Topical application of fluoride varnish 12 12 $116.00