Medicaid Provider Spending

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

GERALD V GARCIA, DMD,INC

NPI: 1629476213 · WEST COVINA, CA 91790 · Dental Clinic/Center · NPI assigned 12/12/2014

$8K
Total Medicaid Paid
309
Total Claims
268
Beneficiaries
5
Codes Billed
2018-07
First Month
2023-12
Last Month

Provider Details

Authorized OfficialGARCIA, GERALD (DENTIST)
NPI Enumeration Date12/12/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 58 $3K
2019 57 $2K
2020 83 $2K
2021 68 $2K
2022 28 $394.00
2023 15 $220.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 64 64 $6K
D1208 Topical application of fluoride, excluding varnish 158 156 $2K
D0230 Intraoral - periapical each additional radiographic image 61 24 $247.05
D0220 Intraoral - periapical first radiographic image 14 12 $168.00
D1999 12 12 $0.00