Medicaid Provider Spending

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

GEORGE XENAKIS, DDS, PC

NPI: 1639539430 · SAN GABRIEL, CA 91776 · Dental Clinic/Center · NPI assigned 03/07/2016

$2K
Total Medicaid Paid
104
Total Claims
62
Beneficiaries
4
Codes Billed
2020-02
First Month
2022-12
Last Month

Provider Details

Authorized OfficialXENAKIS, GEORGE (OWNER)
NPI Enumeration Date03/07/2016

Related Entities

Other providers sharing the same authorized official: XENAKIS, GEORGE

ProviderCityStateTotal Paid
GEORGE XENAKIS, DDS, PC IRVINE CA $7K
GEORGE XENAKIS, DDS, PALISADES PARK, LLC HACKENSACK NJ $2K
GEORGE XENAKIS, DDS, PC SAN DIEGO CA $2K
GEORGE XENAKIS, DDS, PC LOS ANGELES CA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 78 $1K
2022 26 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 25 24 $2K
D0330 Panoramic radiographic image 12 12 $360.00
D0230 Intraoral - periapical each additional radiographic image 54 14 $226.80
D1208 Topical application of fluoride, excluding varnish 13 12 $189.00