Medicaid Provider Spending

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

AMROLLAHIE DMD INC

NPI: 1104660687 · VISTA, CA 92083 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 06/20/2024

$9K
Total Medicaid Paid
228
Total Claims
223
Beneficiaries
4
Codes Billed
2024-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialAMROLLAHIE, ALI (PRESIDENT)
Parent OrganizationAMROLLAHIE DMD INC
NPI Enumeration Date06/20/2024

Related Entities

Other providers sharing the same authorized official: AMROLLAHIE, ALI

ProviderCityStateTotal Paid
AMROLLAHIE AND RIMAN DENTAL PARTNERSHIP TUSTIN CA $5.97M
AMROLLAHIE AND RIMAN DENTAL PARTNERSHIP VISTA CA $2.20M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 228 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 80 80 $5K
D0330 Panoramic radiographic image 81 81 $2K
D9430 50 49 $2K
D9995 17 13 $55.92