MASHREGHI, MITRA
NPI: 1073729232
· NORTH HOLLYWOOD, CA 91602
· Dentist
· NPI assigned 05/15/2007
$109K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
20 |
$182.00 |
| 2021 |
13 |
$172.00 |
| 2022 |
559 |
$17K |
| 2023 |
1,153 |
$40K |
| 2024 |
1,557 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
614 |
603 |
$37K |
| D9410 |
|
1,429 |
1,334 |
$36K |
| D0230 |
Intraoral - periapical each additional radiographic image |
517 |
446 |
$16K |
| D1110 |
Prophylaxis - adult |
101 |
97 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
447 |
446 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
108 |
108 |
$5K |
| D1206 |
Topical application of fluoride varnish |
86 |
83 |
$2K |