Medicaid Provider Spending

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

EHAB SAMAAN DDS, INC

NPI: 1073236881 · LONG BEACH, CA 90808 · Dentist · NPI assigned 09/26/2022

$11K
Total Medicaid Paid
346
Total Claims
284
Beneficiaries
9
Codes Billed
2023-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSAMAAN, EHAB (DDS)
NPI Enumeration Date09/26/2022

Related Entities

Other providers sharing the same authorized official: SAMAAN, EHAB

ProviderCityStateTotal Paid
EHABSAMAAN DDS INC CORONA CA $3.04M
EHAB SAMAAN DDS,INC LAKEWOOD CA $447K
EHAB SAMAAN DDS INC TORRANCE CA $79K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 108 $5K
2024 238 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 56 56 $4K
D0210 Intraoral - complete series of radiographic images 51 51 $2K
D9430 55 45 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 20 14 $1K
D1208 Topical application of fluoride, excluding varnish 44 44 $620.00
D0330 Panoramic radiographic image 12 12 $360.00
D0230 Intraoral - periapical each additional radiographic image 77 31 $311.85
D1320 16 16 $225.00
D0220 Intraoral - periapical first radiographic image 15 15 $180.00