Medicaid Provider Spending

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

SALIBA, VIRGINIA

NPI: 1043412927 · HACKENSACK, NJ 07601 · Dentist · NPI assigned 06/04/2007

$30K
Total Medicaid Paid
1,534
Total Claims
1,523
Beneficiaries
8
Codes Billed
2018-01
First Month
2020-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 717 $15K
2019 664 $13K
2020 153 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 544 544 $10K
D0210 Intraoral - complete series of radiographic images 273 273 $7K
D0150 Comprehensive oral evaluation - new or established patient 310 310 $7K
D0120 Periodic oral evaluation - established patient 252 252 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 22 12 $839.00
D0220 Intraoral - periapical first radiographic image 106 105 $456.30
D1206 Topical application of fluoride varnish 14 14 $202.40
D1999 13 13 $0.00