Medicaid Provider Spending

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

NPI: 1609418987 · FONTANA, CA 92335 · Dental Clinic/Center · NPI assigned 10/08/2019

$80K
Total Medicaid Paid
1,283
Total Claims
1,247
Beneficiaries
5
Codes Billed
2022-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFARGO, BASSAM (CO-OWNER/DENTIST)
NPI Enumeration Date10/08/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 92 $5K
2023 150 $9K
2024 1,041 $66K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 625 625 $41K
D0210 512 512 $24K
D7210 64 28 $7K
D1110 69 69 $6K
D1120 13 13 $682.50