Medicaid Provider Spending

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

REZA M. BIRJANDI D.D.S.,A PROFESSIONAL DENTAL CORPORATION

NPI: 1215350467 · ALISO VIEJO, CA 92656 · Dentist · NPI assigned 01/23/2014

$34K
Total Medicaid Paid
1,540
Total Claims
1,104
Beneficiaries
8
Codes Billed
2018-01
First Month
2019-11
Last Month

Provider Details

Authorized OfficialLOMELI, ESBEIDY (OFFICE MANAGER)
Parent OrganizationREZA M. BIRJANDI DDS A PROFESSIONAL DENTAL CORP.
NPI Enumeration Date01/23/2014

Related Entities

Other providers sharing the same authorized official: LOMELI, ESBEIDY

ProviderCityStateTotal Paid
REZA M. BIRJANDI DDS., A PROFESSIONAL DENTAL CORPORATION SUN CITY CA $28K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 824 $19K
2019 716 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 183 181 $8K
D1110 Prophylaxis - adult 123 121 $8K
D0210 Intraoral - complete series of radiographic images 128 125 $5K
D0120 Periodic oral evaluation - established patient 114 113 $4K
D1208 Topical application of fluoride, excluding varnish 355 351 $4K
D0230 Intraoral - periapical each additional radiographic image 547 123 $2K
D1120 Prophylaxis - child 40 40 $1K
D0272 Bitewings - two radiographic images 50 50 $548.00