Medicaid Provider Spending

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

UCSF CENTER FOR CRANIOFACIAL ANOMALIES

NPI: 1992874960 · SAN FRANCISCO, CA 94143 · Oral and Maxillofacial Pathology Dentist · NPI assigned 11/06/2006

$9K
Total Medicaid Paid
480
Total Claims
378
Beneficiaries
5
Codes Billed
2018-02
First Month
2019-12
Last Month

Provider Details

Authorized OfficialBERTOLAMI, CHARLES (DEAN)
NPI Enumeration Date11/06/2006

Related Entities

Other providers sharing the same authorized official: BERTOLAMI, CHARLES

ProviderCityStateTotal Paid
UCSF PEDIATRIC DENTISTRY SAN FRANCISCO CA $5.40M
UCSF DIVISION OF ORTHODONTICS SAN FRANCISCO CA $615K
UCSF PERIODONTAL SPECIALTY CLINIC SAN FRANCISCO CA $38K
POSTGRADUATE ENDODONTICS SAN FRANCISCO CA $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 303 $6K
2019 177 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 43 43 $2K
D0350 326 226 $2K
D0340 41 39 $2K
D0160 16 16 $2K
D0330 Panoramic radiographic image 54 54 $2K