Medicaid Provider Spending

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

SALAMA AND ALKHALAYLEH DENTAL CORPORATION

NPI: 1093075970 · BAKERSFIELD, CA 93308 · Endodontist · NPI assigned 05/24/2012

$8K
Total Medicaid Paid
824
Total Claims
371
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialSALAMA, WASFI (OWNER)
NPI Enumeration Date05/24/2012

Related Entities

Other providers sharing the same authorized official: SALAMA, WASFI

ProviderCityStateTotal Paid
SALAMA & AL-KHALAYLEH DENTAL CORPORATION BAKERSFIELD CA $127K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 824 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 93 93 $2K
D0230 Intraoral - periapical each additional radiographic image 561 108 $2K
D1120 Prophylaxis - child 62 62 $2K
D0210 Intraoral - complete series of radiographic images 28 28 $1K
D0150 Comprehensive oral evaluation - new or established patient 30 30 $980.00
D1208 Topical application of fluoride, excluding varnish 38 38 $380.00
D0272 Bitewings - two radiographic images 12 12 $120.00