Medicaid Provider Spending

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

LOUIS F MASCOLA DDS INC

NPI: 1891986345 · SAN PEDRO, CA 90731 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 08/08/2007

$4K
Total Medicaid Paid
112
Total Claims
111
Beneficiaries
3
Codes Billed
2021-04
First Month
2022-08
Last Month

Provider Details

Authorized OfficialMASCOLA, LOUIS (OWNER PRESIDENT)
NPI Enumeration Date08/08/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 66 $2K
2022 46 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9430 68 67 $2K
D0330 Panoramic radiographic image 27 27 $780.00
D0140 Limited oral evaluation - problem focused 17 17 $595.00