Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › AVON › AVON ORTH, LLC

AVON ORTH, LLC

NPI: 1154181436 · AVON, OH 44011 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 03/21/2024

$57K
Total Medicaid Paid
773
Total Claims
764
Beneficiaries
6
Codes Billed
2024-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSARRAJ, MOHAMAD (OWNER/ ORTHODONTIST)
NPI Enumeration Date03/21/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 773 $57K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0340 149 147 $17K
D0330 Panoramic radiographic image 148 147 $13K
D8670 Periodic orthodontic treatment visit 27 27 $10K
D0150 Comprehensive oral evaluation - new or established patient 149 148 $7K
D0470 151 147 $6K
D0350 149 148 $3K