Medicaid Provider Spending

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

KHAMMAR, ISSAM

NPI: 1225254394 · FORKED RIVER, NJ 08731 · General Practice Dentistry · NPI assigned 04/17/2007

$55K
Total Medicaid Paid
1,959
Total Claims
1,919
Beneficiaries
7
Codes Billed
2018-01
First Month
2023-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 494 $15K
2019 525 $14K
2020 306 $8K
2021 280 $8K
2022 272 $8K
2023 82 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 757 746 $38K
D0120 Periodic oral evaluation - established patient 723 713 $13K
D0220 Intraoral - periapical first radiographic image 354 344 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 16 12 $666.02
D0274 Bitewings - four radiographic images 25 25 $387.90
D0230 Intraoral - periapical each additional radiographic image 72 67 $382.34
D0140 Limited oral evaluation - problem focused 12 12 $176.68