Medicaid Provider Spending

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

HESARAKI, AREZO

NPI: 1174928857 · OAK GROVE, MO 64075 · General Practice Dentistry · NPI assigned 10/23/2014

$7K
Total Medicaid Paid
190
Total Claims
190
Beneficiaries
4
Codes Billed
2018-05
First Month
2019-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 76 $4K
2019 114 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 68 68 $3K
D0150 Comprehensive oral evaluation - new or established patient 34 34 $2K
D1206 Topical application of fluoride varnish 55 55 $1K
D0272 Bitewings - two radiographic images 33 33 $1K