Medicaid Provider Spending

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

FARHANA M.RASSIWALA,DDS,INC

NPI: 1093242307 · DUBLIN, CA 94568 · Dental Clinic/Center · NPI assigned 05/17/2017

$72K
Total Medicaid Paid
2,757
Total Claims
2,322
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-04
Last Month

Provider Details

Authorized OfficialRASSIWALA, FARHANA (OWNER)
NPI Enumeration Date05/17/2017

Related Entities

Other providers sharing the same authorized official: RASSIWALA, FARHANA

ProviderCityStateTotal Paid
RASSIWALA DENTAL CORPORATION STOCKTON CA $3.39M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 495 $12K
2019 521 $17K
2020 491 $11K
2021 568 $11K
2022 352 $12K
2023 294 $8K
2024 36 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 449 448 $26K
D0150 Comprehensive oral evaluation - new or established patient 237 234 $14K
D1120 Prophylaxis - child 273 273 $9K
D0210 Intraoral - complete series of radiographic images 132 129 $6K
D1208 Topical application of fluoride, excluding varnish 385 384 $4K
D0230 Intraoral - periapical each additional radiographic image 889 471 $4K
D1110 Prophylaxis - adult 45 44 $3K
D0274 Bitewings - four radiographic images 148 147 $3K
D1206 Topical application of fluoride varnish 179 179 $2K
D0350 20 13 $240.00