Medicaid Provider Spending

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

M. RAUFY DDS, INC.

NPI: 1851099048 · SAN DIEGO, CA 92126 · Endodontist · NPI assigned 02/17/2023

$18K
Total Medicaid Paid
467
Total Claims
343
Beneficiaries
9
Codes Billed
2024-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRAUFY, MUZMML (CEO)
NPI Enumeration Date02/17/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 467 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 105 105 $7K
D0210 Intraoral - complete series of radiographic images 101 101 $5K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 32 15 $2K
D0350 136 30 $1K
D1110 Prophylaxis - adult 12 12 $1K
D9430 21 21 $672.00
D0330 Panoramic radiographic image 18 18 $540.00
D1206 Topical application of fluoride varnish 25 25 $424.00
D0220 Intraoral - periapical first radiographic image 17 16 $204.00