Medicaid Provider Spending

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

M AMANDA DENTAL DMD PC

NPI: 1669168670 · HUNTINGTON BEACH, CA 92648 · General Practice Dentistry · NPI assigned 04/12/2023

$10K
Total Medicaid Paid
297
Total Claims
194
Beneficiaries
7
Codes Billed
2024-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialAMANDA, MARSHA (PRESIDENT)
NPI Enumeration Date04/12/2023

Related Entities

Other providers sharing the same authorized official: AMANDA, MARSHA

ProviderCityStateTotal Paid
ESPRI DENTAL PC EL PASO TX $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 297 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2335 46 12 $5K
D0150 Comprehensive oral evaluation - new or established patient 43 43 $3K
D1206 Topical application of fluoride varnish 27 27 $529.50
D0230 Intraoral - periapical each additional radiographic image 93 25 $372.60
D1310 31 31 $276.00
D1208 Topical application of fluoride, excluding varnish 13 13 $192.50
D0603 44 43 $135.00