Medicaid Provider Spending

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

SOPHIA ROZOV DDS, INC

NPI: 1184749392 · TARZANA, CA 91356 · General Practice Dentistry · NPI assigned 03/20/2007

$2K
Total Medicaid Paid
43
Total Claims
43
Beneficiaries
3
Codes Billed
2018-10
First Month
2018-10
Last Month

Provider Details

Authorized OfficialROZOV, SOPHIA (CEO)
NPI Enumeration Date03/20/2007

Related Entities

Other providers sharing the same authorized official: ROZOV, SOPHIA

ProviderCityStateTotal Paid
SOPHIA ROZOV DDS, INC PICO RIVERA CA $253K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 43 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 18 18 $1K
D0210 Intraoral - complete series of radiographic images 13 13 $624.00
D1208 Topical application of fluoride, excluding varnish 12 12 $159.00