Medicaid Provider Spending

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

MEHDI MORADISERESHT DDS, INC

NPI: 1043932585 · WOODLAND HILLS, CA 91364 · General Practice Dentistry · NPI assigned 09/12/2022

$63K
Total Medicaid Paid
1,349
Total Claims
1,312
Beneficiaries
11
Codes Billed
2023-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMORADISERESHT, MEHDI (OWNER)
NPI Enumeration Date09/12/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 95 $3K
2024 1,254 $60K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 315 313 $20K
D1110 Prophylaxis - adult 132 132 $11K
D2751 Crown - porcelain fused to predominantly base metal 21 12 $10K
D0210 Intraoral - complete series of radiographic images 235 235 $10K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 53 27 $3K
D1320 196 196 $3K
D1206 Topical application of fluoride varnish 138 138 $3K
D0350 194 194 $2K
D1120 Prophylaxis - child 13 13 $580.50
D1208 Topical application of fluoride, excluding varnish 36 36 $514.00
D0330 Panoramic radiographic image 16 16 $442.50