Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › DALY CITY › PERPETUA MADRILEJO DENTAL OFFICE INC.

PERPETUA MADRILEJO DENTAL OFFICE INC.

NPI: 1790161552 · DALY CITY, CA 94014 · Dental Clinic/Center · NPI assigned 08/04/2015

$31K
Total Medicaid Paid
825
Total Claims
682
Beneficiaries
6
Codes Billed
2018-01
First Month
2021-11
Last Month

Provider Details

Authorized OfficialMADRILEJO, PERPETUA (DENTIST/OWNER)
NPI Enumeration Date08/04/2015

Related Entities

Other providers sharing the same authorized official: MADRILEJO, PERPETUA

ProviderCityStateTotal Paid
HILLTOP DENTAL CARE DALY CITY CA $289K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 479 $10K
2019 54 $2K
2020 32 $137.70
2021 260 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 234 234 $19K
D0150 Comprehensive oral evaluation - new or established patient 117 117 $7K
D1120 Prophylaxis - child 104 104 $3K
D0230 Intraoral - periapical each additional radiographic image 284 142 $1K
D0220 Intraoral - periapical first radiographic image 72 71 $744.00
D0274 Bitewings - four radiographic images 14 14 $302.40