Medicaid Provider Spending

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

SERGIO OCAMPO DDS PC

NPI: 1730392499 · LA MIRADA, CA 90638 · Dentist · NPI assigned 05/08/2007

$21K
Total Medicaid Paid
281
Total Claims
275
Beneficiaries
4
Codes Billed
2020-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialOCAMPO, SERGIO (PRESIDENT)
NPI Enumeration Date05/08/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12 $792.00
2023 54 $3K
2024 215 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2751 Crown - porcelain fused to predominantly base metal 19 13 $9K
D0150 Comprehensive oral evaluation - new or established patient 134 134 $8K
D0210 Intraoral - complete series of radiographic images 113 113 $4K
D1208 Topical application of fluoride, excluding varnish 15 15 $205.60