Medicaid Provider Spending

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

ARNULFO MOLINA PROFESSIONAL DENTAL CORPORATION

NPI: 1578956967 · PACOIMA, CA 91331 · Dentist · NPI assigned 03/10/2015

$14K
Total Medicaid Paid
925
Total Claims
584
Beneficiaries
8
Codes Billed
2018-04
First Month
2020-02
Last Month

Provider Details

Authorized OfficialMOLINA, ARNULFO (DENTIST)
NPI Enumeration Date03/10/2015

Related Entities

Other providers sharing the same authorized official: MOLINA, ARNULFO

ProviderCityStateTotal Paid
ARNULFO MOLINA PROFESSIONAL DENTAL CORPORATION RESEDA CA $520K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 297 $4K
2019 432 $7K
2020 196 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 40 14 $3K
D0120 Periodic oral evaluation - established patient 56 56 $2K
D0230 Intraoral - periapical each additional radiographic image 470 155 $2K
D1120 Prophylaxis - child 59 59 $2K
D1208 Topical application of fluoride, excluding varnish 166 166 $2K
D0272 Bitewings - two radiographic images 108 108 $1K
D1110 Prophylaxis - adult 13 13 $1K
D0150 Comprehensive oral evaluation - new or established patient 13 13 $858.00