Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SACRAMENTO › ELICA HEALTH CENTERS

ELICA HEALTH CENTERS

NPI: 1922542869 · SACRAMENTO, CA 95820 · Case Manager/Care Coordinator · NPI assigned 12/12/2016

$1K
Total Medicaid Paid
117
Total Claims
117
Beneficiaries
6
Codes Billed
2023-11
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBAK, TATYANA (CEO)
Parent OrganizationELICA HEALTH CENTERS
NPI Enumeration Date12/12/2016

Related Entities

Other providers sharing the same authorized official: BAK, TATYANA

ProviderCityStateTotal Paid
ELICA HEALTH CENTERS SACRAMENTO CA $94.19M
ELICA HEALTH CENTERS NORTH HIGHLANDS CA $58.22M
ELICA HEALTH CENTERS WEST SACRAMENTO CA $42.65M
ELICA HEALTH CENTERS WEST SACRAMENTO CA $3.95M
ELICA HEALTH CENTERS SACRAMENTO CA $2K
ELICA HEALTH CENTERS SACRAMENTO CA $2K
ELICA HEALTH CENTERS SACRAMENTO CA $650.36
ELICA HEALTH CENTERS SACRAMENTO CA $0.00
ELICA HEALTH CENTERS NORTH HIGHLANDS CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 12 $0.00
2024 105 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 25 25 $662.40
D0210 Intraoral - complete series of radiographic images 13 13 $289.02
D0220 Intraoral - periapical first radiographic image 40 40 $156.34
D0330 Panoramic radiographic image 13 13 $120.44
D0350 14 14 $0.00
D9430 12 12 $0.00