Medicaid Provider Spending

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

CASPIAN DENTAL CENTER PLLC

NPI: 1063874220 · KATY, TX 77450 · General Practice Dentistry · NPI assigned 03/25/2016

$15K
Total Medicaid Paid
1,527
Total Claims
980
Beneficiaries
6
Codes Billed
2021-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialRASTEGARI, ALIEH (PRESIDENT/OWNER)
NPI Enumeration Date03/25/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 158 $2K
2022 324 $3K
2023 574 $5K
2024 471 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 630 232 $5K
D0120 Periodic oral evaluation - established patient 172 135 $3K
D0220 Intraoral - periapical first radiographic image 303 252 $3K
D1208 Topical application of fluoride, excluding varnish 212 183 $2K
D1120 Prophylaxis - child 65 53 $2K
D0603 145 125 $0.03