Medicaid Provider Spending

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

THOMAS DENTAL GROUP OF ENCINO, PLLC

NPI: 1972294676 · ENCINO, CA 91436 · Anesthesiology Physician · NPI assigned 05/15/2023

$25K
Total Medicaid Paid
677
Total Claims
370
Beneficiaries
11
Codes Billed
2024-05
First Month
2024-06
Last Month

Provider Details

Authorized OfficialWHEELER, JEFFERY (CEO)
NPI Enumeration Date05/15/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 677 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 125 32 $15K
D9420 37 37 $3K
D0150 Comprehensive oral evaluation - new or established patient 37 37 $2K
D7140 Extraction, erupted tooth or exposed root 34 14 $2K
D0240 74 37 $740.00
D1120 Prophylaxis - child 36 36 $630.00
D0272 Bitewings - two radiographic images 45 37 $444.00
D0230 Intraoral - periapical each additional radiographic image 180 31 $376.65
D1206 Topical application of fluoride varnish 36 36 $357.00
D0350 37 37 $211.20
D1330 36 36 $0.00