Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› EDALAT PAJOUH S KALAI DENTAL CORP
EDALAT PAJOUH S KALAI DENTAL CORP
NPI: 1205908795 · CANOGA PARK, CA 91303 ·
Dentist
$21K
Total Medicaid Paid
916
Total Claims
499
Beneficiaries
8
Codes Billed
2020-02
First Month
2024-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
24
$2K
2022
224
$6K
2023
478
$10K
2024
190
$4K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0150
115
115
$8K
D4910
66
66
$5K
D0210
61
61
$3K
D0230
524
110
$2K
D1208
94
94
$1K
D0120
16
16
$1K
D9430
27
24
$864.00
D0274
13
13
$280.80