Medicaid Provider Spending

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

DANIEL A. FARKAS, DDS, INC.

NPI: 1932397981 · MONTEBELLO, CA 90640 · Dental Clinic/Center · NPI assigned 10/03/2007

$12K
Total Medicaid Paid
675
Total Claims
532
Beneficiaries
9
Codes Billed
2018-01
First Month
2022-03
Last Month

Provider Details

Authorized OfficialFARKAS, DANIEL (PRESIDENT)
NPI Enumeration Date10/03/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 171 $2K
2019 332 $9K
2020 81 $1K
2021 39 $117.00
2022 52 $508.10

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 159 158 $5K
D1110 Prophylaxis - adult 60 60 $3K
D0150 Comprehensive oral evaluation - new or established patient 27 27 $2K
D0230 Intraoral - periapical each additional radiographic image 264 131 $919.20
D0274 Bitewings - four radiographic images 69 66 $687.60
D0210 Intraoral - complete series of radiographic images 14 14 $672.00
D1208 Topical application of fluoride, excluding varnish 13 12 $216.00
D0220 Intraoral - periapical first radiographic image 56 52 $122.00
D1120 Prophylaxis - child 13 12 $108.00