Medicaid Provider Spending

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

CESAR CARRASCO DDS INC

NPI: 1891269262 · CARSON, CA 90745 · Dentist · NPI assigned 01/18/2019

$60K
Total Medicaid Paid
1,368
Total Claims
1,163
Beneficiaries
7
Codes Billed
2021-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARRASCO, CESAR (PRESIDENT)
Parent OrganizationCESAR CARRASCO DDS INC
NPI Enumeration Date01/18/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 550 $19K
2022 345 $18K
2023 197 $9K
2024 276 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 463 462 $31K
D0210 Intraoral - complete series of radiographic images 367 366 $17K
D9430 190 160 $6K
D1120 Prophylaxis - child 61 60 $3K
D1351 Sealant - per tooth 82 16 $2K
D1208 Topical application of fluoride, excluding varnish 66 66 $834.00
D0230 Intraoral - periapical each additional radiographic image 139 33 $586.80