Medicaid Provider Spending

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

ATEF HANA DENTAL INC

NPI: 1902247885 · AZUSA, CA 91702 · Dental Clinic/Center · NPI assigned 07/09/2013

$92K
Total Medicaid Paid
4,112
Total Claims
3,184
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialHANA, ATEF (DENTIST)
NPI Enumeration Date07/09/2013

Related Entities

Other providers sharing the same authorized official: HANA, ATEF

ProviderCityStateTotal Paid
ATEF E.HANA, D.D.S, INC. RIALTO CA $617K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 991 $19K
2019 1,000 $21K
2020 1,101 $29K
2021 251 $6K
2022 505 $12K
2023 167 $4K
2024 97 $802.95

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 525 523 $25K
D0150 Comprehensive oral evaluation - new or established patient 302 301 $16K
D0210 Intraoral - complete series of radiographic images 218 217 $9K
D1206 Topical application of fluoride varnish 541 540 $8K
D1110 Prophylaxis - adult 103 103 $8K
D0274 Bitewings - four radiographic images 293 291 $6K
D0230 Intraoral - periapical each additional radiographic image 1,505 635 $6K
D1208 Topical application of fluoride, excluding varnish 358 358 $4K
D4910 40 40 $3K
D1120 Prophylaxis - child 83 83 $2K
D2150 Silver amalgam - two surfaces, primary or permanent 25 12 $2K
D9910 45 27 $2K
D0350 74 54 $825.60