ALEXANDER VILDERMAN DENTAL, INC
NPI: 1700269982
· WEST SACRAMENTO, CA 95691
· 1223D0001X
$853K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
8,031 |
$220K |
| 2019 |
2,552 |
$97K |
| 2020 |
1,789 |
$74K |
| 2021 |
2,325 |
$83K |
| 2022 |
2,605 |
$81K |
| 2023 |
2,654 |
$88K |
| 2024 |
4,714 |
$210K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0150 |
|
3,406 |
3,345 |
$159K |
| D1110 |
|
1,771 |
1,736 |
$113K |
| D7210 |
|
986 |
446 |
$112K |
| D2392 |
|
1,516 |
889 |
$90K |
| D0210 |
|
2,249 |
2,201 |
$88K |
| D9430 |
|
2,925 |
2,634 |
$86K |
| D1208 |
|
3,034 |
3,010 |
$38K |
| D2740 |
|
52 |
29 |
$24K |
| D0120 |
|
393 |
389 |
$24K |
| D4910 |
|
220 |
219 |
$16K |
| D0330 |
|
481 |
445 |
$15K |
| D2391 |
|
340 |
217 |
$14K |
| D4341 |
|
264 |
90 |
$14K |
| D0230 |
|
3,809 |
1,983 |
$13K |
| D1120 |
|
454 |
446 |
$13K |
| D0220 |
|
1,584 |
1,323 |
$12K |
| D0274 |
|
633 |
613 |
$10K |
| D2393 |
|
84 |
55 |
$6K |
| D2394 |
|
33 |
26 |
$2K |
| D2330 |
|
20 |
12 |
$2K |
| D1351 |
|
44 |
12 |
$754.00 |
| D7140 |
|
17 |
15 |
$724.80 |
| D0270 |
|
123 |
99 |
$240.00 |
| D0272 |
|
13 |
13 |
$100.00 |
| D0350 |
|
87 |
40 |
$78.00 |
| D1999 |
|
38 |
36 |
$0.00 |
| D1310 |
|
94 |
94 |
$0.00 |