Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN BERNARDINO › VIJAY B. PATEL

VIJAY B. PATEL

NPI: 1992818033 · SAN BERNARDINO, CA 92410 · Pediatric Dentist · NPI assigned 08/15/2006

$2K
Total Medicaid Paid
234
Total Claims
140
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-01
Last Month

Provider Details

Authorized OfficialPATEL, VIJAY (OWNER)
NPI Enumeration Date08/15/2006

Related Entities

Other providers sharing the same authorized official: PATEL, VIJAY

ProviderCityStateTotal Paid
LONE STAR DENTAL AND BRACES, PLLC FT WORTH TX $2.44M
RARITAN BAY PRIMARY CARE & CARDIOLOGY ASSOCIATES, PA MATAWAN NJ $1.73M
ACME HEALTH SERVICES, INC INDIANAPOLIS IN $1.00M
MONTCLAIR PLAZA DENTAL GROUP MONTCLAIR CA $387K
WAYNE PRIMARY CARE WAYNE MI $347K
VISITING PHYSICIANS SERVICES NORTHVILLE MI $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 234 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 30 30 $900.00
D0120 Periodic oral evaluation - established patient 27 27 $504.00
D0230 Intraoral - periapical each additional radiographic image 124 30 $408.00
D1208 Topical application of fluoride, excluding varnish 29 29 $282.00
D0220 Intraoral - periapical first radiographic image 24 24 $240.00