ETEMADI DENTAL CORPORATION
NPI: 1699842492
· RANCHO CUCAMONGA, CA 91739
· 1223X0400X
$776K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,720 |
$52K |
| 2019 |
2,418 |
$58K |
| 2020 |
3,234 |
$79K |
| 2021 |
3,815 |
$86K |
| 2022 |
4,599 |
$160K |
| 2023 |
3,735 |
$205K |
| 2024 |
3,063 |
$137K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2751 |
|
342 |
240 |
$162K |
| D1110 |
|
1,250 |
1,242 |
$108K |
| D0120 |
|
1,896 |
1,886 |
$105K |
| D0150 |
|
1,058 |
1,053 |
$66K |
| D2160 |
|
691 |
371 |
$55K |
| D0274 |
|
2,170 |
2,155 |
$46K |
| D0230 |
|
8,961 |
3,974 |
$41K |
| D1120 |
|
1,037 |
1,035 |
$38K |
| D1208 |
|
2,297 |
2,284 |
$29K |
| D9430 |
|
747 |
742 |
$24K |
| D2954 |
|
219 |
169 |
$23K |
| D4341 |
|
212 |
64 |
$15K |
| D2150 |
|
209 |
138 |
$14K |
| D0220 |
|
1,077 |
1,067 |
$13K |
| D1320 |
|
840 |
833 |
$11K |
| D7210 |
|
74 |
37 |
$9K |
| D2393 |
|
91 |
56 |
$7K |
| D0210 |
|
96 |
96 |
$4K |
| D3221 |
|
49 |
38 |
$3K |
| D0272 |
|
219 |
218 |
$2K |
| D4910 |
|
15 |
15 |
$1K |
| D2391 |
|
18 |
13 |
$982.80 |
| D0374 |
|
16 |
16 |
$0.00 |