Medicaid Provider Spending

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

ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

NPI: 1730214131 · SANTA ROSA, CA 95407 · Dental Clinic/Center · NPI assigned 02/23/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more

$5.64M
Total Medicaid Paid
161,062
Total Claims
151,666
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
Parent OrganizationST JOSEPH HEALTH SYSTEM
NPI Enumeration Date02/23/2007

Related Entities

Other providers sharing the same authorized official: ANDERSON, DONALD

ProviderCityStateTotal Paid
PROVIDENCE HEALTH & SERVICES WASHINGTON ANCHORAGE AK $161.45M
KADLEC REGIONAL MEDICAL CENTER RICHLAND WA $151.60M
SWEDISH EDMONDS EDMONDS WA $30.06M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC EUREKA CA $28.68M
PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA TORRANCE CA $27.29M
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA SAN PEDRO CA $24.26M
PROVIDENCE HEALTH & SERVICES - WASHINGTON TUKWILA WA $21.98M
SWEDISH HEALTH SERVICES SEATTLE WA $21.06M
PROVIDENCE HEALTH & SERVICES WASHINGTON KODIAK AK $11.39M
SWEDISH HEALTH SERVICES SEATTLE WA $11.08M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC FORTUNA CA $8.55M
COLLABRIA CARE NAPA CA $8.20M
PROVIDENCE HEALTH & SERVICES OREGON SEASIDE OR $8.01M
PROVIDENCE HEALTH & SERVICES- WASHINGTON SPOKANE WA $8.01M
HOSPICE OF LUBBOCK INC LUBBOCK TX $6.48M
PROVIDENCE SAINT JOHN'S HEALTH CENTER SANTA MONICA CA $5.52M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.55M
COLLABRIA CARE NAPA CA $4.05M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.01M
METHODIST HOSPITAL PLAINVIEW TEXAS PLAINVIEW TX $4.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 22,812 $612K
2019 24,975 $786K
2020 9,074 $309K
2021 16,553 $527K
2022 21,096 $818K
2023 30,783 $1.19M
2024 35,769 $1.39M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 20,236 20,169 $1.18M
D1120 Prophylaxis - child 25,538 25,400 $1.08M
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 12,358 8,890 $819K
D1206 Topical application of fluoride varnish 28,460 28,265 $419K
D1310 8,079 8,060 $368K
D0150 Comprehensive oral evaluation - new or established patient 5,115 5,106 $334K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 6,674 6,508 $258K
D0274 Bitewings - four radiographic images 10,196 10,150 $203K
D9993 3,152 3,147 $185K
D1351 Sealant - per tooth 6,149 2,493 $176K
D0272 Bitewings - two radiographic images 11,855 11,797 $137K
D0145 Oral evaluation for a patient under three years of age 1,509 1,502 $95K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,495 1,200 $79K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 962 883 $75K
D0603 5,039 5,030 $75K
D1320 6,207 6,181 $45K
D0330 Panoramic radiographic image 1,053 1,051 $31K
D0601 1,852 1,845 $27K
D7140 Extraction, erupted tooth or exposed root 313 237 $18K
D0230 Intraoral - periapical each additional radiographic image 3,366 2,321 $13K
D9430 328 317 $10K
D0220 Intraoral - periapical first radiographic image 555 552 $7K
D0270 469 464 $2K
D1208 Topical application of fluoride, excluding varnish 85 85 $858.00
D3120 17 13 $0.00