Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › ALBANY › SO & VALDEZ, A PROFESSIONAL DENTAL CORPORATIOM

SO & VALDEZ, A PROFESSIONAL DENTAL CORPORATIOM

NPI: 1922430487 · ALBANY, CA 94706 · Pediatric Dentist · NPI assigned 08/06/2013

$6K
Total Medicaid Paid
228
Total Claims
228
Beneficiaries
3
Codes Billed
2018-08
First Month
2022-08
Last Month

Provider Details

Authorized OfficialSO, PATRICK (CO-OWNER)
NPI Enumeration Date08/06/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 41 $1K
2019 89 $2K
2020 85 $2K
2022 13 $682.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 113 113 $4K
D0150 Comprehensive oral evaluation - new or established patient 42 42 $2K
D1206 Topical application of fluoride varnish 73 73 $863.00