Medicaid Provider Spending

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

VILLACIS DENTAL CORPORATION

NPI: 1750747234 · CARSON, CA 90746 · Dental Clinic/Center · NPI assigned 01/13/2016

$43K
Total Medicaid Paid
2,892
Total Claims
2,101
Beneficiaries
11
Codes Billed
2018-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialVILLACIS, SASKIA (DDS)
NPI Enumeration Date01/13/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,450 $19K
2019 761 $10K
2020 385 $7K
2021 213 $3K
2023 83 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 1,310 856 $11K
D0150 Comprehensive oral evaluation - new or established patient 162 162 $8K
D0220 Intraoral - periapical first radiographic image 566 474 $6K
D0120 Periodic oral evaluation - established patient 169 169 $6K
D1120 Prophylaxis - child 157 155 $4K
D0350 394 154 $3K
D0210 Intraoral - complete series of radiographic images 52 52 $2K
D9430 31 28 $992.00
D1110 Prophylaxis - adult 25 25 $880.00
D0274 Bitewings - four radiographic images 12 12 $259.20
D0272 Bitewings - two radiographic images 14 14 $168.00