Medicaid Provider Spending

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

MAHIN N JAHROMI DENTAL GROUP INC

NPI: 1073128039 · FONTANA, CA 92335 · Dentist · NPI assigned 09/15/2020

$10K
Total Medicaid Paid
187
Total Claims
187
Beneficiaries
4
Codes Billed
2021-06
First Month
2021-10
Last Month

Provider Details

Authorized OfficialNOSRATI, MAHIN (DENTIST)
NPI Enumeration Date09/15/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 187 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 66 66 $4K
D1110 Prophylaxis - adult 28 28 $2K
D0210 Intraoral - complete series of radiographic images 48 48 $2K
D1208 Topical application of fluoride, excluding varnish 45 45 $606.00