Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › VALLEJO › ELDER DENTAL CORP

ELDER DENTAL CORP

NPI: 1568905917 · VALLEJO, CA 94591 · Dentist · NPI assigned 12/01/2016

$466K
Total Medicaid Paid
4,786
Total Claims
3,536
Beneficiaries
7
Codes Billed
2019-10
First Month
2021-07
Last Month

Provider Details

Authorized OfficialELDER, MAHR (OWNER)
NPI Enumeration Date12/01/2016

Related Entities

Other providers sharing the same authorized official: ELDER, MAHR

ProviderCityStateTotal Paid
M ELDER D D S A PROFESSIONAL CORPORATION PINOLE CA $39.53M
MAHR ELDER DDS MD P C NOVATO CA $5.52M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 483 $32K
2020 2,224 $193K
2021 2,079 $241K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 1,315 490 $156K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 581 345 $83K
D0150 Comprehensive oral evaluation - new or established patient 1,091 1,091 $71K
D7240 Removal of impacted tooth - completely bony 239 108 $55K
D9222 344 344 $41K
D0330 Panoramic radiographic image 1,075 1,075 $32K
D7230 141 83 $27K