Medicaid Provider Spending

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

HAKIMZADEH & REYHANI DENTAL OFFICE OF CERRITOS. INC.

NPI: 1083296339 · CERRITOS, CA 90703 · Dental Clinic/Center · NPI assigned 04/26/2021

$12K
Total Medicaid Paid
364
Total Claims
364
Beneficiaries
6
Codes Billed
2023-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialNAPOLES, CAROLINA (AUDITOR)
NPI Enumeration Date04/26/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 184 $6K
2024 180 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 128 128 $7K
D1208 Topical application of fluoride, excluding varnish 110 110 $2K
D0210 Intraoral - complete series of radiographic images 62 62 $1K
D1110 Prophylaxis - adult 13 13 $934.50
D0120 Periodic oral evaluation - established patient 12 12 $639.00
D0220 Intraoral - periapical first radiographic image 39 39 $218.00