Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › BELL GARDENS › JAVIER GARCIA DDS., INC

JAVIER GARCIA DDS., INC

NPI: 1578931705 · BELL GARDENS, CA 90201 · General Practice Dentistry · NPI assigned 09/03/2015

$4K
Total Medicaid Paid
484
Total Claims
211
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-03
Last Month

Provider Details

Authorized OfficialGARCIA, JAVIER (PRESIDENT)
NPI Enumeration Date09/03/2015

Related Entities

Other providers sharing the same authorized official: GARCIA, JAVIER

ProviderCityStateTotal Paid
WHITE ROCK OB/GYN, PLLC DALLAS TX $2.13M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 315 $2K
2019 67 $443.75
2024 102 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 361 88 $2K
D0150 Comprehensive oral evaluation - new or established patient 13 13 $858.00
D0272 Bitewings - two radiographic images 70 70 $776.00
D0120 Periodic oral evaluation - established patient 40 40 $261.00