Medicaid Provider Spending

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

MINA GIRGIS DDS, INC

NPI: 1669959284 · BELLFLOWER, CA 90706 · Dental Clinic/Center · NPI assigned 07/26/2018

$33K
Total Medicaid Paid
696
Total Claims
695
Beneficiaries
5
Codes Billed
2020-06
First Month
2022-11
Last Month

Provider Details

Authorized OfficialGIRGIS, MINA (PRESIDENT)
NPI Enumeration Date07/26/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 85 $5K
2021 281 $14K
2022 330 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 191 191 $12K
D1110 Prophylaxis - adult 124 124 $11K
D0210 Intraoral - complete series of radiographic images 142 142 $6K
D1208 Topical application of fluoride, excluding varnish 223 222 $3K
D9430 16 16 $512.00