Medicaid Provider Spending

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

SAMANI, PARI

NPI: 1144228602 · TUALATIN, OR 97062 · General Practice Dentistry · NPI assigned 07/08/2005

Deactivated NPI · This NPI was deactivated on 03/15/2006. Reactivated 04/05/2006.
$32K
Total Medicaid Paid
4,816
Total Claims
3,977
Beneficiaries
10
Codes Billed
2020-02
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 230 $3K
2021 648 $2K
2022 1,475 $9K
2023 1,778 $14K
2024 685 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 1,091 909 $14K
D1120 Prophylaxis - child 388 388 $13K
D0220 Intraoral - periapical first radiographic image 158 152 $2K
D0230 Intraoral - periapical each additional radiographic image 163 82 $1K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 19 14 $994.00
D0150 Comprehensive oral evaluation - new or established patient 26 26 $912.00
D0120 Periodic oral evaluation - established patient 12 12 $336.00
D0603 44 44 $0.31
D1310 1,450 1,168 $0.26
D1330 1,465 1,182 $0.00