Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › LOS ANGELES › VICTOR DE LOS SANTOS, DDS

VICTOR DE LOS SANTOS, DDS

NPI: 1750735296 · LOS ANGELES, CA 90057 · Dentist · NPI assigned 04/21/2016

$296.00
Total Medicaid Paid
36
Total Claims
27
Beneficiaries
2
Codes Billed
2018-04
First Month
2018-06
Last Month

Provider Details

Authorized OfficialDE LOS SANTOS, VICTOR (DENTIST)
NPI Enumeration Date04/21/2016

Related Entities

Other providers sharing the same authorized official: DE LOS SANTOS, VICTOR

ProviderCityStateTotal Paid
VICTOR DE LOS SANTOS D.D.S. INC LONG BEACH CA $596K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 36 $296.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 23 14 $204.00
D0220 Intraoral - periapical first radiographic image 13 13 $92.00