Medicaid Provider Spending

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

FAMILY AND COSMETIC DENTISTRY

NPI: 1154597573 · LEESBURG, VA 20176 · Dentist · NPI assigned 05/06/2008

$27K
Total Medicaid Paid
1,532
Total Claims
1,396
Beneficiaries
8
Codes Billed
2021-03
First Month
2024-08
Last Month

Provider Details

Authorized OfficialABTAHI, NARJES (DENTIST)
NPI Enumeration Date05/06/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 169 $6K
2022 435 $13K
2023 684 $8K
2024 244 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 475 467 $16K
D0120 Periodic oral evaluation - established patient 451 445 $6K
D0220 Intraoral - periapical first radiographic image 341 301 $2K
D0230 Intraoral - periapical each additional radiographic image 177 95 $1K
D0150 Comprehensive oral evaluation - new or established patient 26 26 $814.06
D0274 Bitewings - four radiographic images 38 38 $753.48
D1208 Topical application of fluoride, excluding varnish 12 12 $0.00
D0140 Limited oral evaluation - problem focused 12 12 $0.00