SOUTH CALIFORNIA DENTAL PRACTICE
NPI: 1588809875
· STOCKTON, CA 95202
· 122300000X
$1.44M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,911 |
$279K |
| 2019 |
9,299 |
$241K |
| 2020 |
6,436 |
$147K |
| 2021 |
7,494 |
$175K |
| 2022 |
6,261 |
$197K |
| 2023 |
6,242 |
$215K |
| 2024 |
5,127 |
$186K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
5,940 |
5,936 |
$309K |
| D1120 |
|
6,425 |
6,412 |
$237K |
| D1351 |
|
6,007 |
1,392 |
$164K |
| D0150 |
|
2,522 |
2,517 |
$152K |
| D1208 |
|
7,326 |
7,310 |
$93K |
| D0210 |
|
1,890 |
1,886 |
$88K |
| D2392 |
|
1,102 |
661 |
$73K |
| D1110 |
|
725 |
724 |
$62K |
| D0274 |
|
2,433 |
2,432 |
$51K |
| D2391 |
|
778 |
367 |
$42K |
| D0230 |
|
10,290 |
5,682 |
$41K |
| D9430 |
|
914 |
870 |
$28K |
| D0220 |
|
2,145 |
2,097 |
$25K |
| D0272 |
|
1,253 |
1,252 |
$15K |
| D2150 |
|
216 |
147 |
$14K |
| D1310 |
|
327 |
327 |
$14K |
| D0145 |
|
171 |
171 |
$8K |
| D7210 |
|
71 |
49 |
$8K |
| D9993 |
|
194 |
194 |
$6K |
| D0603 |
|
281 |
281 |
$4K |
| D0240 |
|
355 |
182 |
$4K |
| D7140 |
|
16 |
13 |
$918.40 |
| D1999 |
|
389 |
387 |
$0.00 |