Medicaid Provider Spending

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

IBRAHIM IRAWAN DDS

NPI: 1093055980 · GLENDORA, CA 91740 · Dentist · NPI assigned 02/28/2013

$20K
Total Medicaid Paid
1,127
Total Claims
872
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialIRAWAN, IBRAHIM (OWNER)
NPI Enumeration Date02/28/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 331 $5K
2019 260 $6K
2020 15 $180.00
2021 191 $3K
2022 151 $3K
2023 133 $2K
2024 46 $932.10

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 426 279 $9K
D0220 Intraoral - periapical first radiographic image 475 368 $5K
D1206 Topical application of fluoride varnish 152 151 $2K
D0150 Comprehensive oral evaluation - new or established patient 46 46 $2K
D1110 Prophylaxis - adult 28 28 $2K