Medicaid Provider Spending

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

ALI M MUALLA DDS PLLC

NPI: 1083112395 · LEESBURG, VA 20176 · Dental Clinic/Center · NPI assigned 02/01/2018

$2K
Total Medicaid Paid
83
Total Claims
82
Beneficiaries
4
Codes Billed
2019-10
First Month
2021-04
Last Month

Provider Details

Authorized OfficialMUALLA, ALI (DDS)
NPI Enumeration Date02/01/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $379.39
2020 43 $1K
2021 27 $248.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 17 17 $755.04
D0274 Bitewings - four radiographic images 40 40 $745.20
D0330 Panoramic radiographic image 13 13 $379.39
D0220 Intraoral - periapical first radiographic image 13 12 $0.00