Medicaid Provider Spending

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

NICOLAS DENTAL CORPORATION

NPI: 1669793311 · LAMONT, CA 93241 · Dentist · NPI assigned 06/17/2010

$34K
Total Medicaid Paid
1,231
Total Claims
924
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-11
Last Month

Provider Details

Authorized OfficialNICOLAS, EPIFANIA (PRESIDENT)
NPI Enumeration Date06/17/2010

Related Entities

Other providers sharing the same authorized official: NICOLAS, EPIFANIA

ProviderCityStateTotal Paid
EPIFANIA V NICOLAS BLYTHE CA $619K
EPIFANIA V NICOLAS REDLANDS CA $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,231 $34K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 145 85 $17K
D0330 Panoramic radiographic image 263 262 $7K
D9430 198 196 $6K
D0220 Intraoral - periapical first radiographic image 163 152 $2K
D0230 Intraoral - periapical each additional radiographic image 450 217 $2K
D0150 Comprehensive oral evaluation - new or established patient 12 12 $420.00