Medicaid Provider Spending

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

DAVID FRANCISCO ZEGARRA DENTAL PRACTICE CORPORATION

NPI: 1790137594 · BLOOMINGTON, CA 92316 · Dentist · NPI assigned 07/06/2016

$4K
Total Medicaid Paid
151
Total Claims
151
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-04
Last Month

Provider Details

Authorized OfficialZEGARRA, DAVID (DENTIST)
NPI Enumeration Date07/06/2016

Related Entities

Other providers sharing the same authorized official: ZEGARRA, DAVID

ProviderCityStateTotal Paid
DAVID FRANCISCO ZEGARRA DENTAL CORPORATION SANTA ANA CA $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 151 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 65 65 $2K
D0210 Intraoral - complete series of radiographic images 46 46 $2K
D1208 Topical application of fluoride, excluding varnish 40 40 $246.00