Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › FONTANA › MARILOU P. MEDINA, DMD, INC.

MARILOU P. MEDINA, DMD, INC.

NPI: 1669642963 · FONTANA, CA 92335 · General Practice Dentistry · NPI assigned 03/03/2008

$21K
Total Medicaid Paid
1,884
Total Claims
1,564
Beneficiaries
11
Codes Billed
2018-01
First Month
2023-01
Last Month

Provider Details

Authorized OfficialMEDINA, MARILOU (DENTIST)
NPI Enumeration Date03/03/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 598 $8K
2019 402 $4K
2020 330 $4K
2021 271 $2K
2022 227 $3K
2023 56 $309.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 113 113 $5K
D1208 412 411 $4K
D0230 736 433 $3K
D1120 81 81 $2K
D0220 166 157 $2K
D0150 41 41 $2K
D1110 12 12 $1K
D2140 19 12 $1K
D0274 25 25 $496.80
D0272 37 37 $432.00
D1330 242 242 $0.00