Medicaid Provider Spending

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

DR. JO'S FAMILY DENTISTRY

NPI: 1992035786 · BELL GARDENS, CA 90201 · Dentist · NPI assigned 12/30/2009

$44K
Total Medicaid Paid
1,662
Total Claims
1,589
Beneficiaries
9
Codes Billed
2018-02
First Month
2024-04
Last Month

Provider Details

Authorized OfficialJO, PAUL (OWNER/DENTIST)
NPI Enumeration Date12/30/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 571 $14K
2019 317 $9K
2020 253 $6K
2021 228 $7K
2022 47 $1K
2023 175 $5K
2024 71 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 713 685 $16K
D1110 Prophylaxis - adult 125 124 $9K
D0274 Bitewings - four radiographic images 376 376 $8K
D2150 Silver amalgam - two surfaces, primary or permanent 71 39 $4K
D1208 Topical application of fluoride, excluding varnish 273 271 $3K
D2140 23 13 $1K
D0150 Comprehensive oral evaluation - new or established patient 25 25 $1K
D0120 Periodic oral evaluation - established patient 43 43 $936.00
D1120 Prophylaxis - child 13 13 $390.00