Medicaid Provider Spending

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

CARLOS A TAMAYO DDS INC

NPI: 1992874549 · OXNARD, CA 93030 · Dentist · NPI assigned 11/07/2006

$41K
Total Medicaid Paid
2,695
Total Claims
1,732
Beneficiaries
7
Codes Billed
2018-01
First Month
2023-08
Last Month

Provider Details

Authorized OfficialTAMAYO, CARLOS (PRESIDENT)
NPI Enumeration Date11/07/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 519 $6K
2019 385 $4K
2020 237 $5K
2021 536 $7K
2022 595 $11K
2023 423 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 259 257 $15K
D0274 Bitewings - four radiographic images 397 396 $8K
D0230 Intraoral - periapical each additional radiographic image 1,680 757 $7K
D1120 Prophylaxis - child 163 163 $6K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 50 13 $3K
D1208 Topical application of fluoride, excluding varnish 134 134 $2K
D1110 Prophylaxis - adult 12 12 $480.00