Medicaid Provider Spending

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

NOOR FAMILY DENTISTRY

NPI: 1205325115 · WESTMINSTER, CO 80030 · Dental Clinic/Center · NPI assigned 05/07/2018

$35K
Total Medicaid Paid
1,177
Total Claims
1,169
Beneficiaries
8
Codes Billed
2018-06
First Month
2021-04
Last Month

Provider Details

Authorized OfficialNOOR, ERADA (OWNER)
NPI Enumeration Date05/07/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 261 $10K
2019 280 $9K
2020 492 $13K
2021 144 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 350 347 $14K
D0120 Periodic oral evaluation - established patient 297 297 $7K
D0150 Comprehensive oral evaluation - new or established patient 144 144 $5K
D0274 Bitewings - four radiographic images 81 81 $2K
D0140 Limited oral evaluation - problem focused 69 68 $2K
D0220 Intraoral - periapical first radiographic image 177 173 $2K
D0230 Intraoral - periapical each additional radiographic image 47 47 $1K
D0210 Intraoral - complete series of radiographic images 12 12 $964.92