Medicaid Provider Spending

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

KHAYAL, SAMIR

NPI: 1194944389 · COMPTON, CA 90221 · Dentist · NPI assigned 04/25/2007

$5K
Total Medicaid Paid
216
Total Claims
156
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 216 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 21 12 $2K
D0150 Comprehensive oral evaluation - new or established patient 31 31 $1K
D0210 Intraoral - complete series of radiographic images 16 16 $640.00
D1208 Topical application of fluoride, excluding varnish 57 57 $504.00
D1120 Prophylaxis - child 12 12 $345.00
D0230 Intraoral - periapical each additional radiographic image 79 28 $309.00