Medicaid Provider Spending

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

NPI: 1770775041 · WESTMINSTER, CA 92683 · Dental Clinic/Center · NPI assigned 08/10/2007

$743.55
Total Medicaid Paid
92
Total Claims
37
Beneficiaries
3
Codes Billed
2019-06
First Month
2019-06
Last Month

Provider Details

Authorized OfficialNGUYEN, RICHARD (PRESIDENT)
NPI Enumeration Date08/10/2007

Related Entities

Other providers sharing the same authorized official: NGUYEN, RICHARD

ProviderCityStateTotal Paid
ZINFANDEL DENTAL PRACTICE SACRAMENTO CA $4.60M
BUENA VISTA FAMILY MEDICAL CENTER, INC. OXNARD CA $1.14M
ZINFANDEL DENTAL PRACTICE RANCHO CORDOVA CA $787K
OCEAN SMILE DENTAL HUNTINGTON BEACH CA $9K
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - HONOLULU, LLC HONOLULU HI $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 92 $743.55

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 12 12 $360.00
D0230 Intraoral - periapical each additional radiographic image 68 13 $287.55
D1208 Topical application of fluoride, excluding varnish 12 12 $96.00