Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › PICO RIVERA › ROSELLE A. AMADORDDS.INC.

ROSELLE A. AMADORDDS.INC.

NPI: 1679930275 · PICO RIVERA, CA 90660 · Dentist · NPI assigned 01/27/2016

$2K
Total Medicaid Paid
353
Total Claims
107
Beneficiaries
3
Codes Billed
2018-03
First Month
2019-01
Last Month

Provider Details

Authorized OfficialAMADOR, ANN ROSELLE (PRESIDENT/OWNER)
NPI Enumeration Date01/27/2016

Related Entities

Other providers sharing the same authorized official: AMADOR, ANN ROSELLE

ProviderCityStateTotal Paid
RA AMADOR DENTAL GROUP DDS.INC. WHITTIER CA $558.90

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 300 $1K
2019 53 $214.65

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 302 56 $1K
D0274 Bitewings - four radiographic images 26 26 $414.00
D0120 Periodic oral evaluation - established patient 25 25 $231.00