Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN BERNARDINO › FELDKAMP CAL SELECT DENTAL GROUP, INC.

FELDKAMP CAL SELECT DENTAL GROUP, INC.

NPI: 1669036117 · SAN BERNARDINO, CA 92408 · General Practice Dentistry · NPI assigned 04/30/2019

$2.94M
Total Medicaid Paid
69,568
Total Claims
53,154
Beneficiaries
34
Codes Billed
2019-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFELDKAMP III, IRVING (OWNER)
NPI Enumeration Date04/30/2019

Related Entities

Other providers sharing the same authorized official: FELDKAMP III, IRVING

ProviderCityStateTotal Paid
FELDKAMP CAL SELECT DENTAL GROUP, INC. HESPERIA CA $715K
FELDKAMP CAL SELECT DENTAL GROUP, INC. RIVERSIDE CA $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,592 $69K
2020 18,399 $825K
2021 17,850 $770K
2022 14,112 $640K
2023 10,061 $411K
2024 7,554 $221K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 7,452 7,443 $492K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 3,295 1,746 $384K
D1110 Prophylaxis - adult 3,578 3,570 $315K
D0210 Intraoral - complete series of radiographic images 5,682 5,672 $269K
D0120 Periodic oral evaluation - established patient 3,046 3,030 $199K
D1120 Prophylaxis - child 3,943 3,934 $152K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,016 1,082 $134K
D4910 1,654 1,646 $126K
D0230 Intraoral - periapical each additional radiographic image 15,376 5,657 $109K
D1208 Topical application of fluoride, excluding varnish 7,207 7,192 $95K
D4341 1,213 360 $84K
D0274 Bitewings - four radiographic images 3,142 3,126 $66K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,146 651 $62K
D7140 Extraction, erupted tooth or exposed root 780 409 $45K
D2751 Crown - porcelain fused to predominantly base metal 93 82 $44K
D4342 1,021 328 $43K
D9993 629 628 $40K
D9430 1,198 1,019 $38K
D1351 Sealant - per tooth 1,434 362 $37K
D7230 194 129 $37K
D1310 816 816 $37K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 386 279 $31K
D3330 Endodontic therapy, molar tooth (excluding final restoration) 66 61 $31K
D0272 Bitewings - two radiographic images 1,686 1,683 $20K
D0601 815 814 $12K
D0220 Intraoral - periapical first radiographic image 730 700 $9K
D1206 Topical application of fluoride varnish 398 398 $6K
D7240 Removal of impacted tooth - completely bony 21 12 $5K
D3320 13 12 $5K
D2330 55 39 $4K
D0350 366 159 $3K
D0330 Panoramic radiographic image 87 87 $3K
D0145 Oral evaluation for a patient under three years of age 15 15 $1K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 15 13 $560.00