Medicaid Provider Spending

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

CAROLINA G. PABLO, DDS A PROF. DENTAL CORP.

NPI: 1710005244 · WINNETKA, CA 91306 · Dentist · NPI assigned 03/26/2007

$2K
Total Medicaid Paid
86
Total Claims
79
Beneficiaries
2
Codes Billed
2019-01
First Month
2024-01
Last Month

Provider Details

Authorized OfficialPABLO, CAROLINA (DENTIST)
NPI Enumeration Date03/26/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 15 $193.00
2021 14 $154.00
2022 20 $290.00
2023 12 $172.00
2024 25 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 13 13 $1K
D1208 Topical application of fluoride, excluding varnish 73 66 $981.00