Medicaid Provider Spending

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

JEFFREY W. JOE, DDS, INC.

NPI: 1740529205 · MONTEBELLO, CA 90640 · Dentist · NPI assigned 02/04/2013

$22K
Total Medicaid Paid
789
Total Claims
621
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJOE, JEFFREY (OWNER/PRESIDENT)
NPI Enumeration Date02/04/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 191 $4K
2019 51 $2K
2020 26 $1K
2021 36 $2K
2022 127 $3K
2023 145 $3K
2024 213 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 96 95 $5K
D0210 Intraoral - complete series of radiographic images 111 110 $4K
D9430 111 103 $4K
D0120 Periodic oral evaluation - established patient 83 83 $3K
D1110 Prophylaxis - adult 50 50 $3K
D1208 Topical application of fluoride, excluding varnish 127 127 $2K
D0230 Intraoral - periapical each additional radiographic image 211 53 $798.90