Medicaid Provider Spending

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

PRIYAWAT AND KIM DENTAL SERVICES

NPI: 1801461561 · CHINO HILLS, CA 91709 · General Practice Dentistry · NPI assigned 05/25/2021

$10K
Total Medicaid Paid
200
Total Claims
200
Beneficiaries
3
Codes Billed
2022-03
First Month
2023-06
Last Month

Provider Details

Authorized OfficialBANNATZ, CARRICK (OFFICE MANAGER)
NPI Enumeration Date05/25/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 88 $5K
2023 112 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 89 89 $6K
D0210 Intraoral - complete series of radiographic images 61 61 $3K
D0330 Panoramic radiographic image 50 50 $1K