Medicaid Provider Spending

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

ARTEAGA DDS A PROFESSIONAL DENTAL CORPORATION

NPI: 1740468339 · BALDWIN PARK, CA 91706 · Dentist · NPI assigned 02/05/2008

$44K
Total Medicaid Paid
3,055
Total Claims
1,522
Beneficiaries
11
Codes Billed
2018-01
First Month
2019-10
Last Month

Provider Details

Authorized OfficialARTEAGA, ANAMARIA (OWNER/PRESIDENT)
NPI Enumeration Date02/05/2008

Related Entities

Other providers sharing the same authorized official: ARTEAGA, ANAMARIA

ProviderCityStateTotal Paid
ARTEAGA DENTAL CORPORATION SAN BERNARDINO CA $509K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,266 $13K
2019 1,789 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 246 244 $9K
D2391 Resin-based composite - one surface, posterior, primary or permanent 165 52 $8K
D0230 Intraoral - periapical each additional radiographic image 1,489 306 $6K
D1120 Prophylaxis - child 170 170 $5K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 64 36 $4K
D0274 Bitewings - four radiographic images 159 158 $3K
D0350 287 96 $3K
D1208 Topical application of fluoride, excluding varnish 281 277 $3K
D0150 Comprehensive oral evaluation - new or established patient 28 28 $2K
D2150 Silver amalgam - two surfaces, primary or permanent 22 12 $1K
D1330 144 143 $0.00