Medicaid Provider Spending

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

PERFECT DENTAL

NPI: 1841650645 · SAN RAMON, CA 94582 · General Practice Dentistry · NPI assigned 03/07/2016

$28K
Total Medicaid Paid
1,105
Total Claims
1,002
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-02
Last Month

Provider Details

Authorized OfficialFENG, CHENG PO (DENTIST/OWNER)
NPI Enumeration Date03/07/2016

Related Entities

Other providers sharing the same authorized official: FENG, CHENG PO

ProviderCityStateTotal Paid
PERFECT DENTAL CUPERTINO CA $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 183 $2K
2019 69 $1K
2020 76 $1K
2021 337 $9K
2022 280 $9K
2023 145 $5K
2024 15 $464.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9430 485 415 $16K
D1208 Topical application of fluoride, excluding varnish 371 368 $5K
D0150 Comprehensive oral evaluation - new or established patient 38 38 $3K
D0120 Periodic oral evaluation - established patient 55 53 $2K
D1110 Prophylaxis - adult 13 13 $1K
D1120 Prophylaxis - child 30 28 $840.00
D0210 Intraoral - complete series of radiographic images 12 12 $528.00
D0274 Bitewings - four radiographic images 26 24 $381.60
D1206 Topical application of fluoride varnish 12 12 $201.50
D0230 Intraoral - periapical each additional radiographic image 48 25 $156.15
D1999 15 14 $0.00