Medicaid Provider Spending

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

ESPARZA DENTISTRY INC.

NPI: 1992271787 · ONTARIO, CA 91762 · Dental Clinic/Center · NPI assigned 10/18/2018

$59K
Total Medicaid Paid
3,120
Total Claims
1,461
Beneficiaries
13
Codes Billed
2022-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialESPARZA, OSCAR (OWNER DOCTOR)
NPI Enumeration Date10/18/2018

Related Entities

Other providers sharing the same authorized official: ESPARZA, OSCAR

ProviderCityStateTotal Paid
ESPARZA DENTISTRY INC. RIALTO CA $64K
ESPARZA DENTAL CORPORATION CHINO CA $64K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 412 $9K
2023 1,327 $24K
2024 1,381 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 406 402 $26K
D1120 Prophylaxis - child 192 192 $10K
D0230 Intraoral - periapical each additional radiographic image 2,047 392 $8K
D0120 Periodic oral evaluation - established patient 74 74 $6K
D1208 Topical application of fluoride, excluding varnish 196 196 $3K
D1110 Prophylaxis - adult 25 25 $2K
D0274 Bitewings - four radiographic images 70 70 $1K
D1206 Topical application of fluoride varnish 50 50 $814.00
D0210 Intraoral - complete series of radiographic images 12 12 $576.00
D0220 Intraoral - periapical first radiographic image 12 12 $144.00
D0603 12 12 $0.00
D1310 12 12 $0.00
D1330 12 12 $0.00