Medicaid Provider Spending

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

RAFIK YANNI DDS A PROFESSIONAL CORPORATION

NPI: 1760623912 · WEST COVINA, CA 91792 · Dental Clinic/Center · NPI assigned 03/18/2009

$1K
Total Medicaid Paid
87
Total Claims
63
Beneficiaries
3
Codes Billed
2018-05
First Month
2023-06
Last Month

Provider Details

Authorized OfficialYANNI, RAFIK (PRESIDENT)
NPI Enumeration Date03/18/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 36 $108.00
2022 12 $160.00
2023 39 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 12 12 $715.00
D1208 Topical application of fluoride, excluding varnish 39 39 $571.50
D0230 Intraoral - periapical each additional radiographic image 36 12 $108.00