JANETTE S. CABALINAN,A PROF. DENTAL CORP.
NPI: 1821274333
· SOUTH PASADENA, CA 91030
· Dental Clinic/Center
· NPI assigned 01/15/2008
$168K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
349 |
$9K |
| 2019 |
583 |
$13K |
| 2020 |
733 |
$16K |
| 2021 |
1,330 |
$33K |
| 2022 |
1,025 |
$34K |
| 2023 |
1,047 |
$32K |
| 2024 |
1,020 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9430 |
|
2,129 |
1,878 |
$68K |
| D0120 |
Periodic oral evaluation - established patient |
598 |
598 |
$35K |
| D1110 |
Prophylaxis - adult |
192 |
192 |
$16K |
| D1120 |
Prophylaxis - child |
310 |
310 |
$11K |
| D1208 |
Topical application of fluoride, excluding varnish |
771 |
771 |
$9K |
| D0350 |
|
651 |
220 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
82 |
82 |
$5K |
| D4910 |
|
66 |
66 |
$5K |
| D1206 |
Topical application of fluoride varnish |
227 |
226 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
65 |
65 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
647 |
321 |
$3K |
| D0274 |
Bitewings - four radiographic images |
126 |
126 |
$3K |
| D1999 |
|
223 |
194 |
$30.00 |