Medicaid Provider Spending

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

E.MOAWAD DENTAL CORPORATION

NPI: 1841735511 · COMPTON, CA 90221 · Exclusive Provider Organization · NPI assigned 01/04/2017

$37K
Total Medicaid Paid
1,006
Total Claims
839
Beneficiaries
6
Codes Billed
2018-01
First Month
2021-04
Last Month

Provider Details

Authorized OfficialCASTILLO, GABRIELA (OFFICE MANAGER)
NPI Enumeration Date01/04/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 258 $11K
2019 280 $13K
2020 86 $2K
2021 382 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 394 388 $21K
D0210 Intraoral - complete series of radiographic images 341 333 $12K
D4355 29 29 $3K
D0230 Intraoral - periapical each additional radiographic image 188 35 $1K
D0220 Intraoral - periapical first radiographic image 33 33 $396.00
D9410 21 21 $168.00