Medicaid Provider Spending

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

NICOLAS TRANSITO DDS, INC

NPI: 1720227556 · UPLAND, CA 91786 · Dental Clinic/Center · NPI assigned 02/18/2009

$18K
Total Medicaid Paid
742
Total Claims
635
Beneficiaries
9
Codes Billed
2021-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTRANSITO, NICOLAS (DENTIST)
NPI Enumeration Date02/18/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 214 $5K
2022 348 $9K
2023 83 $2K
2024 97 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 69 69 $6K
D1120 Prophylaxis - child 123 123 $5K
D0150 Comprehensive oral evaluation - new or established patient 43 43 $3K
D1208 Topical application of fluoride, excluding varnish 212 212 $3K
D0230 Intraoral - periapical each additional radiographic image 162 91 $796.90
D0350 48 12 $345.60
D0272 Bitewings - two radiographic images 25 25 $300.00
D0220 Intraoral - periapical first radiographic image 12 12 $144.00
D1330 48 48 $0.00