Medicaid Provider Spending

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

NPI: 1861888190 · LAKE FOREST, CA 92630 · Dental Clinic/Center · NPI assigned 04/14/2015

$1K
Total Medicaid Paid
60
Total Claims
60
Beneficiaries
4
Codes Billed
2018-07
First Month
2018-12
Last Month

Provider Details

Authorized OfficialVELARDE, CARLOS (DENTIST)
NPI Enumeration Date04/14/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 60 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 18 18 $540.00
D0330 Panoramic radiographic image 12 12 $360.00
D0230 Intraoral - periapical each additional radiographic image 13 13 $283.50
D1208 Topical application of fluoride, excluding varnish 17 17 $136.00