Medicaid Provider Spending

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

ROCKVILLE FAMILY DENTAL GROUP

NPI: 1073998456 · ROCKVILLE, MD 20852 · Pediatric Dentist · NPI assigned 07/27/2015

$32K
Total Medicaid Paid
1,000
Total Claims
877
Beneficiaries
9
Codes Billed
2018-02
First Month
2021-10
Last Month

Provider Details

Authorized OfficialTOFIGH, SEYED (DENTIST)
NPI Enumeration Date07/27/2015

Related Entities

Other providers sharing the same authorized official: TOFIGH, SEYED

ProviderCityStateTotal Paid
ROCKVILLE FAMILY DENTAL GROUPS CORP ROCKVILLE MD $355K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 532 $16K
2019 372 $13K
2020 25 $654.04
2021 71 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2391 Resin-based composite - one surface, posterior, primary or permanent 128 35 $12K
D1208 Topical application of fluoride, excluding varnish 210 209 $5K
D1120 Prophylaxis - child 93 93 $4K
D0120 Periodic oral evaluation - established patient 114 114 $3K
D0230 Intraoral - periapical each additional radiographic image 153 143 $3K
D0140 Limited oral evaluation - problem focused 56 48 $2K
D0220 Intraoral - periapical first radiographic image 153 143 $1K
D0272 Bitewings - two radiographic images 43 43 $645.00
D1330 50 49 $300.00