Medicaid Provider Spending

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

PIERRE BOUMERHI DMD LLC

NPI: 1043494255 · HOUTZDALE, PA 16651 · Dentist · NPI assigned 12/24/2007

$44K
Total Medicaid Paid
1,769
Total Claims
1,733
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOUMERHI, PIERRE (OWNER)
NPI Enumeration Date12/24/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 538 $12K
2019 453 $11K
2024 778 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 517 505 $18K
D0120 Periodic oral evaluation - established patient 573 564 $12K
D0330 Panoramic radiographic image 60 59 $3K
D0274 Bitewings - four radiographic images 69 68 $3K
D1310 132 129 $3K
D0220 Intraoral - periapical first radiographic image 159 156 $2K
D0150 Comprehensive oral evaluation - new or established patient 39 38 $1K
D1120 Prophylaxis - child 29 28 $1K
D1206 Topical application of fluoride varnish 59 57 $1K
D1330 132 129 $878.24