CLINICA DENTAL FAMILIAR SAN JUDAS TADEO
NPI: 1801029681
· ONTARIO, CA 91764
· 1223G0001X
$558K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,702 |
$39K |
| 2019 |
4,685 |
$61K |
| 2020 |
3,550 |
$51K |
| 2021 |
4,217 |
$58K |
| 2022 |
4,719 |
$96K |
| 2023 |
4,404 |
$124K |
| 2024 |
4,090 |
$129K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
2,381 |
2,369 |
$136K |
| D1120 |
|
2,500 |
2,487 |
$98K |
| D2751 |
|
161 |
103 |
$77K |
| D0230 |
|
17,494 |
3,187 |
$71K |
| D0274 |
|
1,834 |
1,824 |
$39K |
| D1208 |
|
3,060 |
3,046 |
$38K |
| D0150 |
|
575 |
575 |
$38K |
| D2150 |
|
321 |
163 |
$22K |
| D0210 |
|
313 |
313 |
$15K |
| D1110 |
|
105 |
105 |
$9K |
| D1351 |
|
239 |
66 |
$6K |
| D0272 |
|
254 |
254 |
$3K |
| D0330 |
|
77 |
77 |
$2K |
| D7140 |
|
37 |
12 |
$2K |
| D4910 |
|
16 |
16 |
$1K |