Medicaid Provider Spending

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

ROLANDO JOSE CAZALI DDS INC

NPI: 1902402381 · COVINA, CA 91723 · General Practice Dentistry · NPI assigned 12/10/2020

$32K
Total Medicaid Paid
682
Total Claims
569
Beneficiaries
7
Codes Billed
2022-11
First Month
2024-08
Last Month

Provider Details

Authorized OfficialCAZALI, ROLANDO (DENTIST)
NPI Enumeration Date12/10/2020

Related Entities

Other providers sharing the same authorized official: CAZALI, ROLANDO

ProviderCityStateTotal Paid
CAZALI AND GALVEZ DDS INC PICO RIVERA CA $23K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 71 $4K
2023 417 $21K
2024 194 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 227 224 $15K
D2391 Resin-based composite - one surface, posterior, primary or permanent 119 53 $6K
D0210 Intraoral - complete series of radiographic images 103 103 $5K
D0230 Intraoral - periapical each additional radiographic image 129 96 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 27 16 $2K
D1208 Topical application of fluoride, excluding varnish 64 64 $978.00
D0272 Bitewings - two radiographic images 13 13 $156.00