Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › FONTANA › CALVILLO AND PENALBA DENTAL CORP.

CALVILLO AND PENALBA DENTAL CORP.

NPI: 1811390578 · FONTANA, CA 92335 · General Practice Dentistry · NPI assigned 10/08/2014

$2K
Total Medicaid Paid
42
Total Claims
42
Beneficiaries
2
Codes Billed
2020-02
First Month
2022-03
Last Month

Provider Details

Authorized OfficialPENALBA, WILBERTO (OWNER/PRESIDENT)
NPI Enumeration Date10/08/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 28 $1K
2022 14 $672.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 29 29 $2K
D0210 Intraoral - complete series of radiographic images 13 13 $576.00