Medicaid Provider Spending

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

FT DENTAL CORP

NPI: 1093988362 · WOBURN, MA 01801 · General Practice Dentistry · NPI assigned 04/08/2008

$30K
Total Medicaid Paid
818
Total Claims
805
Beneficiaries
4
Codes Billed
2018-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialTABATABAI, FOROUGH (OWNER)
NPI Enumeration Date04/08/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 54 $2K
2019 105 $4K
2020 155 $5K
2021 135 $5K
2022 178 $7K
2023 152 $6K
2024 39 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 486 477 $24K
D0120 Periodic oral evaluation - established patient 303 300 $7K
D0220 Intraoral - periapical first radiographic image 12 12 $186.00
D1999 17 16 $0.00