Medicaid Provider Spending

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

DR EDUARD GUTGARTS DDS A PROFESSIONAL DENTAL CORPORATION

NPI: 1942411830 · LOS ANGELES, CA 90046 · General Practice Dentistry · NPI assigned 05/24/2007

$59K
Total Medicaid Paid
1,646
Total Claims
1,494
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGUTGARTS, EDUARD (PRESIDENT)
NPI Enumeration Date05/24/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 157 $4K
2019 246 $11K
2020 172 $6K
2021 170 $4K
2022 213 $9K
2023 343 $13K
2024 345 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 287 287 $25K
D0150 Comprehensive oral evaluation - new or established patient 327 327 $16K
D0220 Intraoral - periapical first radiographic image 505 485 $6K
D0120 Periodic oral evaluation - established patient 115 115 $5K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 15 12 $2K
D5520 28 12 $2K
D0230 Intraoral - periapical each additional radiographic image 314 204 $1K
D0330 Panoramic radiographic image 39 39 $1K
D5510 16 13 $1K