Medicaid Provider Spending

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

TORRES BENITEZ DENTAL CORPORATION

NPI: 1699533521 · CHINO HILLS, CA 91709 · General Practice Dentistry · NPI assigned 03/06/2024

$4K
Total Medicaid Paid
155
Total Claims
50
Beneficiaries
4
Codes Billed
2024-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSARAVIA, RAUL (OFFICE MANAGER)
NPI Enumeration Date03/06/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 155 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 39 12 $3K
D0150 Comprehensive oral evaluation - new or established patient 13 13 $858.00
D0230 Intraoral - periapical each additional radiographic image 91 13 $368.55
D0274 Bitewings - four radiographic images 12 12 $259.20