Medicaid Provider Spending

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

ART DENTAL

NPI: 1750509881 · LANCASTER, CA 93534 · Dentist · NPI assigned 04/23/2007

$10K
Total Medicaid Paid
636
Total Claims
630
Beneficiaries
8
Codes Billed
2018-01
First Month
2018-10
Last Month

Provider Details

Authorized OfficialRAPOPORT, ALLA (PARTNER)
NPI Enumeration Date04/23/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 636 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 123 122 $4K
D0120 Periodic oral evaluation - established patient 112 111 $2K
D0230 Intraoral - periapical each additional radiographic image 178 176 $1K
D1208 Topical application of fluoride, excluding varnish 122 121 $918.00
D0150 Comprehensive oral evaluation - new or established patient 27 27 $840.00
D0274 Bitewings - four radiographic images 48 47 $720.00
D0272 Bitewings - two radiographic images 12 12 $100.00
D1203 14 14 $0.00