Medicaid Provider Spending

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

ESPARZA DENTAL CORPORATION

NPI: 1912452723 · CHINO, CA 91710 · Dentist · NPI assigned 08/22/2016

$64K
Total Medicaid Paid
4,937
Total Claims
2,364
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialESPARZA, OSCAR (PRESIDENT)
NPI Enumeration Date08/22/2016

Related Entities

Other providers sharing the same authorized official: ESPARZA, OSCAR

ProviderCityStateTotal Paid
ESPARZA DENTISTRY INC. RIALTO CA $64K
ESPARZA DENTISTRY INC. ONTARIO CA $59K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,372 $23K
2019 331 $4K
2020 60 $2K
2021 496 $5K
2022 662 $12K
2023 742 $12K
2024 274 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 422 422 $19K
D0230 Intraoral - periapical each additional radiographic image 3,182 650 $13K
D1120 Prophylaxis - child 346 346 $11K
D0150 Comprehensive oral evaluation - new or established patient 164 163 $9K
D1208 Topical application of fluoride, excluding varnish 537 536 $6K
D0274 Bitewings - four radiographic images 178 177 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 27 13 $2K
D0210 Intraoral - complete series of radiographic images 12 12 $564.00
D0350 33 12 $307.20
D0272 Bitewings - two radiographic images 36 33 $260.00