Medicaid Provider Spending

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

EKINOMO ODUFALU DENTAL INC

NPI: 1952840605 · REDLANDS, CA 92374 · Preferred Provider Organization · NPI assigned 02/14/2017

$12K
Total Medicaid Paid
305
Total Claims
304
Beneficiaries
3
Codes Billed
2019-08
First Month
2024-04
Last Month

Provider Details

Authorized OfficialODUFALU, EKINOMO (PRESIDENT)
NPI Enumeration Date02/14/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 25 $1K
2021 128 $5K
2022 12 $147.00
2023 48 $2K
2024 92 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 111 111 $7K
D0210 Intraoral - complete series of radiographic images 79 78 $3K
D1208 Topical application of fluoride, excluding varnish 115 115 $2K