Medicaid Provider Spending

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

MUSTAFA MAKATI DDS A PROFESSIONAL CORP

NPI: 1760259303 · CORONA, CA 92879 · Dentist · NPI assigned 12/05/2023

$41K
Total Medicaid Paid
1,327
Total Claims
857
Beneficiaries
7
Codes Billed
2024-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMAKATI, MUSTAFA (PRESIDENT)
NPI Enumeration Date12/05/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,327 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 215 215 $14K
D2740 Crown - porcelain/ceramic 20 12 $10K
D1110 Prophylaxis - adult 76 76 $7K
D0274 Bitewings - four radiographic images 159 159 $3K
D0230 Intraoral - periapical each additional radiographic image 665 203 $3K
D1208 Topical application of fluoride, excluding varnish 152 152 $2K
D1120 Prophylaxis - child 40 40 $2K