Medicaid Provider Spending

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

M & M NOORI DENTAL CORPORATION

NPI: 1154620995 · ONTARIO, CA 91764 · General Practice Dentistry · NPI assigned 03/18/2011

$2K
Total Medicaid Paid
389
Total Claims
78
Beneficiaries
2
Codes Billed
2020-09
First Month
2023-07
Last Month

Provider Details

Authorized OfficialNOORI, MOJGAN (PRESIDENT)
NPI Enumeration Date03/18/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 136 $550.80
2021 105 $645.30
2023 148 $587.25

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 375 64 $2K
D0274 Bitewings - four radiographic images 14 14 $280.80