Medicaid Provider Spending

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

A DABROWSKA DDS, INC

NPI: 1972135283 · EL SEGUNDO, CA 90245 · Dentist · NPI assigned 02/05/2020

$10K
Total Medicaid Paid
327
Total Claims
259
Beneficiaries
9
Codes Billed
2023-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDABROWSKA, ANNA (PRESIDENT)
NPI Enumeration Date02/05/2020

Related Entities

Other providers sharing the same authorized official: DABROWSKA, ANNA

ProviderCityStateTotal Paid
ANNA DABROWSKA DDS, INC. SANTA MONICA CA $894K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 64 $3K
2024 263 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 39 39 $3K
D0120 Periodic oral evaluation - established patient 26 26 $2K
D4910 25 25 $2K
D1206 Topical application of fluoride varnish 103 103 $2K
D0210 Intraoral - complete series of radiographic images 14 14 $672.00
D1120 Prophylaxis - child 12 12 $630.00
D0350 34 12 $326.40
D0230 Intraoral - periapical each additional radiographic image 59 13 $238.95
D0274 Bitewings - four radiographic images 15 15 $216.00