Medicaid Provider Spending

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

KATHY MAASOUMI D.D.S INC.

NPI: 1033236484 · LAKE FOREST, CA 92630 · Dentist · NPI assigned 03/23/2007

$9K
Total Medicaid Paid
188
Total Claims
188
Beneficiaries
3
Codes Billed
2018-02
First Month
2019-08
Last Month

Provider Details

Authorized OfficialMAASOUMI, KATHY (OWNER)
NPI Enumeration Date03/23/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 164 $8K
2019 24 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 146 146 $7K
D0210 Intraoral - complete series of radiographic images 30 30 $1K
D0120 Periodic oral evaluation - established patient 12 12 $540.00