Medicaid Provider Spending

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

WARNER DDS BOARDWALK PC

NPI: 1710697347 · SAN MARCOS, CA 92078 · Pediatric Dentist · NPI assigned 12/05/2022

$40K
Total Medicaid Paid
1,312
Total Claims
1,084
Beneficiaries
8
Codes Billed
2023-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWARNER, DOUGLAS (OWNER)
NPI Enumeration Date12/05/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 146 $5K
2024 1,166 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 329 327 $17K
D1206 Topical application of fluoride varnish 273 271 $6K
D0150 Comprehensive oral evaluation - new or established patient 89 89 $6K
D0120 Periodic oral evaluation - established patient 68 67 $5K
D1310 82 81 $4K
D0230 Intraoral - periapical each additional radiographic image 318 142 $1K
D0603 80 79 $1K
D0350 73 28 $681.60