Medicaid Provider Spending

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

EP POBLETE DENTAL CORPORATION

NPI: 1588945307 · BURBANK, CA 91506 · 122300000X

$27K

Total Medicaid Paid

1,247

Total Claims

693

Beneficiaries

9

Codes Billed

2018-08

First Month

2024-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	208	$4K
2019	45	$267.30
2020	115	$1K
2021	115	$4K
2022	688	$15K
2023	47	$2K
2024	29	$928.00

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D9430		372	308	$12K
D0120		95	95	$6K
D0230		537	101	$2K
D2391		41	14	$2K
D1110		18	18	$2K
D0274		73	73	$2K
D1206		54	54	$950.00
D0350		42	16	$441.60
D0220		15	14	$180.00