Medicaid Provider Spending

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

CATURAY DENTAL CORPORATION

NPI: 1578753885 · MILLBRAE, CA 94030 · Dentist · NPI assigned 08/01/2007

$24K
Total Medicaid Paid
1,217
Total Claims
1,060
Beneficiaries
7
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialCATURAY, PEDRO (OWNER)
NPI Enumeration Date08/01/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 579 $9K
2019 480 $12K
2020 158 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 247 246 $9K
D1120 Prophylaxis - child 274 273 $8K
D1208 Topical application of fluoride, excluding varnish 256 255 $2K
D0150 Comprehensive oral evaluation - new or established patient 29 29 $2K
D0274 Bitewings - four radiographic images 86 86 $2K
D0230 Intraoral - periapical each additional radiographic image 312 158 $1K
D0210 Intraoral - complete series of radiographic images 13 13 $624.00