Medicaid Provider Spending

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

KHAZAM, NOUREDDIN

NPI: 1205247798 · CLEVELAND, OH 44109 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/19/2014

$9K
Total Medicaid Paid
286
Total Claims
234
Beneficiary Records
6
Codes Billed
2018-01
First Month
2018-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 286 $9K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D7140 Extraction, erupted tooth or exposed root 72 30 $4K
D0330 Panoramic radiographic image 65 64 $2K
D0150 Comprehensive oral evaluation - new or established patient 60 59 $1K
D1110 Prophylaxis - adult 24 24 $788.37
D0210 Intraoral - complete series of radiographic images 19 12 $516.72
D0220 Intraoral - periapical first radiographic image 46 45 $215.00