Medicaid Provider Spending

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

BONDAR, SERGEY

NPI: 1679516884 · NAPA, CA 94558 · Dentist · NPI assigned 06/14/2006

$4K
Total Medicaid Paid
231
Total Claims
208
Beneficiaries
8
Codes Billed
2021-07
First Month
2024-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 13 $0.00
2023 194 $4K
2024 24 $150.72

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 26 26 $750.10
D1110 Prophylaxis - adult 12 12 $658.56
D1120 Prophylaxis - child 15 15 $551.25
D0230 Intraoral - periapical each additional radiographic image 46 23 $529.46
D0274 Bitewings - four radiographic images 15 15 $519.15
D0220 Intraoral - periapical first radiographic image 37 37 $464.72
D1208 Topical application of fluoride, excluding varnish 27 27 $396.90
D0603 53 53 $0.00