Medicaid Provider Spending

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

EKHTIAR, MARYAM

NPI: 1093928632 · SAN JUAN CAPISTRANO, CA 92675 · Dentist · NPI assigned 05/08/2007

$6K
Total Medicaid Paid
157
Total Claims
144
Beneficiaries
4
Codes Billed
2018-02
First Month
2019-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 83 $3K
2019 74 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 93 92 $5K
D0210 Intraoral - complete series of radiographic images 28 28 $1K
D1208 Topical application of fluoride, excluding varnish 12 12 $123.50
D0230 Intraoral - periapical each additional radiographic image 24 12 $105.30