Medicaid Provider Spending

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

RICHARD GUSILATAR DDS CORP

NPI: 1922794213 · DELANO, CA 93215 · General Practice Dentistry · NPI assigned 04/11/2023

$4K
Total Medicaid Paid
154
Total Claims
93
Beneficiaries
4
Codes Billed
2024-06
First Month
2024-08
Last Month

Provider Details

Authorized OfficialGUSILATAR, RICHARD (OWNER)
NPI Enumeration Date04/11/2023

Related Entities

Other providers sharing the same authorized official: GUSILATAR, RICHARD

ProviderCityStateTotal Paid
RICHARD P. GUSILATAR DDS APC WOODLAND HILLS CA $503K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 154 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 36 36 $2K
D1110 Prophylaxis - adult 12 12 $1K
D0230 Intraoral - periapical each additional radiographic image 93 32 $607.50
D0274 Bitewings - four radiographic images 13 13 $280.80