Medicaid Provider Spending

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

NPI: 1154773968 · HUNTINGTON PARK, CA 90255 · General Practice Dentistry · NPI assigned 07/05/2016

$2K
Total Medicaid Paid
55
Total Claims
54
Beneficiaries
2
Codes Billed
2018-05
First Month
2022-01
Last Month

Provider Details

Authorized OfficialKHALILI, SUZANNE (DENTIST)
NPI Enumeration Date07/05/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27 $276.00
2021 15 $675.00
2022 13 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 40 40 $2K
D1208 Topical application of fluoride, excluding varnish 15 14 $108.00