Medicaid Provider Spending

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

VIJAYA KV PRABHU. DDS. A PROFFESSIONAL CORP

NPI: 1831312248 · ESCONDIDO, CA 92026 · General Practice Dentistry · NPI assigned 04/11/2007

$11K
Total Medicaid Paid
587
Total Claims
403
Beneficiaries
6
Codes Billed
2018-01
First Month
2023-07
Last Month

Provider Details

Authorized OfficialPRABHU, VIJAYA (PRESIDENT)
NPI Enumeration Date04/11/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 344 $6K
2019 198 $5K
2022 12 $792.00
2023 33 $133.65

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 77 77 $4K
D0120 Periodic oral evaluation - established patient 98 97 $4K
D1120 Prophylaxis - child 50 50 $2K
D0230 Intraoral - periapical each additional radiographic image 323 140 $1K
D0274 Bitewings - four radiographic images 27 27 $453.60
D1206 Topical application of fluoride varnish 12 12 $116.00