Medicaid Provider Spending

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

ELENES DENTAL CORPORATION

NPI: 1841596954 · BALDWIN PARK, CA 91706 · Dental Clinic/Center · NPI assigned 02/07/2011

$2K
Total Medicaid Paid
111
Total Claims
49
Beneficiaries
3
Codes Billed
2019-06
First Month
2020-08
Last Month

Provider Details

Authorized OfficialELENES, DANIEL (OWNER)
NPI Enumeration Date02/07/2011

Related Entities

Other providers sharing the same authorized official: ELENES, DANIEL

ProviderCityStateTotal Paid
ELENES DENTAL CORPORATION SAN BERNARDINO CA $1.00M
ELENES DENTAL CORPORATION LYNWOOD CA $256K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 52 $766.35
2020 59 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D4910 12 12 $924.00
D0210 Intraoral - complete series of radiographic images 12 12 $576.00
D0230 Intraoral - periapical each additional radiographic image 87 25 $380.70