Medicaid Provider Spending

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

DR. ARI HOBFOLL, DMD PC

NPI: 1154904134 · MURRAY, UT 84107 · Pediatric Dentist · NPI assigned 04/28/2021

$11K
Total Medicaid Paid
546
Total Claims
444
Beneficiaries
6
Codes Billed
2022-05
First Month
2024-01
Last Month

Provider Details

Authorized OfficialHOBFOLL, ARI (OWNER)
NPI Enumeration Date04/28/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 426 $9K
2023 96 $1K
2024 24 $680.04

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 62 60 $3K
D0272 Bitewings - two radiographic images 16 16 $3K
D1206 Topical application of fluoride varnish 131 124 $2K
D1120 Prophylaxis - child 110 105 $2K
D0230 Intraoral - periapical each additional radiographic image 119 49 $368.90
D0220 Intraoral - periapical first radiographic image 108 90 $195.72