Medicaid Provider Spending

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

DENISE DOAN DDS, MMSC.

NPI: 1710532445 · SUNNYVALE, CA 94086 · Dentist · NPI assigned 08/08/2019

$4K
Total Medicaid Paid
155
Total Claims
123
Beneficiaries
4
Codes Billed
2020-02
First Month
2020-07
Last Month

Provider Details

Authorized OfficialDOAN, DENISE (CEO)
NPI Enumeration Date08/08/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 155 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 31 31 $2K
D1120 Prophylaxis - child 45 45 $1K
D1206 Topical application of fluoride varnish 33 33 $336.00
D0230 Intraoral - periapical each additional radiographic image 46 14 $186.30