Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
OH
›
LONDON
› KHAFSAFARD, ALI
KHAFSAFARD, ALI
NPI: 1245321827 · LONDON, OH 43140 ·
Dentist
· NPI assigned 09/27/2006
$791.52
Total Medicaid Paid
47
Total Claims
45
Beneficiaries
3
Codes Billed
2018-11
First Month
2018-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
47
$791.52
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
Periodic oral evaluation - established patient
21
19
$324.52
D1120
Prophylaxis - child
13
13
$272.00
D1208
Topical application of fluoride, excluding varnish
13
13
$195.00