Medicaid Provider Spending

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

ARDALAN DENTAL GROUP CORP

NPI: 1063974244 · ANAHEIM, CA 92805 · General Practice Dentistry · NPI assigned 04/05/2019

$76K
Total Medicaid Paid
4,097
Total Claims
2,033
Beneficiaries
10
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWAHEED, MARYAM (DENTIST)
NPI Enumeration Date04/05/2019

Related Entities

Other providers sharing the same authorized official: WAHEED, MARYAM

ProviderCityStateTotal Paid
MARYAM WAHEED DENTAL GROUP CORP LAKE FOREST CA $86K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 33 $2K
2021 374 $10K
2022 668 $12K
2023 1,192 $19K
2024 1,830 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0350 2,573 688 $23K
D0150 Comprehensive oral evaluation - new or established patient 350 349 $22K
D9430 487 406 $15K
D0210 Intraoral - complete series of radiographic images 242 241 $11K
D1110 Prophylaxis - adult 15 15 $1K
D1208 Topical application of fluoride, excluding varnish 72 71 $1K
D0230 Intraoral - periapical each additional radiographic image 226 131 $903.15
D0274 Bitewings - four radiographic images 38 38 $496.80
D0425 47 47 $0.00
D0417 47 47 $0.00