Medicaid Provider Spending

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

CALDERON & CALDERON DENTAL IMPLANTS

NPI: 1780806638 · OCEANSIDE, NY 11572 · Dentist · NPI assigned 05/02/2007

$63K
Total Medicaid Paid
2,048
Total Claims
2,037
Beneficiaries
5
Codes Billed
2018-03
First Month
2023-11
Last Month

Provider Details

Authorized OfficialCALDERON, MINE (DENTIST PRESIDENT)
NPI Enumeration Date05/02/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 51 $1K
2019 73 $1K
2020 336 $10K
2021 511 $15K
2022 669 $22K
2023 408 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 742 737 $33K
D0120 Periodic oral evaluation - established patient 745 741 $17K
D0274 Bitewings - four radiographic images 534 534 $12K
D0150 Comprehensive oral evaluation - new or established patient 13 13 $311.94
D1208 Topical application of fluoride, excluding varnish 14 12 $141.40