Medicaid Provider Spending

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

HUTALLA ESTELLA DENTAL CORP.

NPI: 1629648860 · PALMDALE, CA 93551 · 261QD0000X

$113K

Total Medicaid Paid

4,348

Total Claims

3,460

Beneficiaries

13

Codes Billed

2022-10

First Month

2024-12

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2022	127	$4K
2023	1,496	$40K
2024	2,725	$69K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0150		382	378	$25K
D1120		292	289	$15K
D2392		226	147	$15K
D9430		332	274	$11K
D0120		132	132	$10K
D0350		930	658	$8K
D1206		372	368	$6K
D1320		491	486	$6K
D2391		92	51	$5K
D0210		97	96	$4K
D0230		830	411	$3K
D0274		147	145	$3K
D1110		25	25	$2K