Medicaid Provider Spending

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

JIM J SOLTANI, DDS & ASSOCIATES

NPI: 1245399799 · CENTREVILLE, VA 20121 · General Practice Dentistry · NPI assigned 12/08/2006

$58K
Total Medicaid Paid
3,117
Total Claims
2,971
Beneficiaries
9
Codes Billed
2018-03
First Month
2024-08
Last Month

Provider Details

Authorized OfficialSOLTANI, JIM (PRESIDENT)
NPI Enumeration Date12/08/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 127 $3K
2019 170 $5K
2020 161 $4K
2021 566 $14K
2022 662 $18K
2023 941 $15K
2024 490 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 645 637 $21K
D0120 Periodic oral evaluation - established patient 898 891 $13K
D0140 Limited oral evaluation - problem focused 316 301 $7K
D0220 Intraoral - periapical first radiographic image 671 582 $6K
D0274 Bitewings - four radiographic images 222 221 $4K
D1206 Topical application of fluoride varnish 197 197 $4K
D1120 Prophylaxis - child 54 54 $2K
D0150 Comprehensive oral evaluation - new or established patient 39 39 $1K
D0230 Intraoral - periapical each additional radiographic image 75 49 $716.49