Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › VISALIA › S. OH DENTAL CORP

S. OH DENTAL CORP

NPI: 1952832230 · VISALIA, CA 93277 · General Practice Dentistry · NPI assigned 03/27/2017

$11K
Total Medicaid Paid
646
Total Claims
417
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-03
Last Month

Provider Details

Authorized OfficialOH, SAEKYU (CEO)
NPI Enumeration Date03/27/2017

Related Entities

Other providers sharing the same authorized official: OH, SAEKYU

ProviderCityStateTotal Paid
OH DMD INC BAKERSFIELD CA $37.87M
OH DMD INC BAKERSFIELD CA $28.46M
OH DMD INC DELANO CA $22.93M
OH DMD INC TULARE CA $18.58M
OH DMD INC VISALIA CA $16.55M
OH DMD INC FRESNO CA $3.95M
OH DMD INC BAKERSFIELD CA $1.40M
OH DMD INC BAKERSFIELD CA $978K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 646 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 76 76 $3K
D1120 Prophylaxis - child 87 87 $3K
D9993 33 33 $2K
D1310 33 33 $1K
D0230 Intraoral - periapical each additional radiographic image 300 71 $1K
D1206 Topical application of fluoride varnish 86 86 $1K
D0272 Bitewings - two radiographic images 31 31 $310.00