Medicaid Provider Spending

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

REZA M. BIRJANDI DDS., A PROFESSIONAL DENTAL CORPORATION

NPI: 1245512649 · SUN CITY, CA 92586 · Dentist · NPI assigned 09/13/2011

$28K
Total Medicaid Paid
1,858
Total Claims
1,095
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialLOMELI, ESBEIDY (OFFICE MANAGER)
NPI Enumeration Date09/13/2011

Related Entities

Other providers sharing the same authorized official: LOMELI, ESBEIDY

ProviderCityStateTotal Paid
REZA M. BIRJANDI D.D.S.,A PROFESSIONAL DENTAL CORPORATION ALISO VIEJO CA $34K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,055 $11K
2019 449 $6K
2020 86 $3K
2021 185 $5K
2022 29 $1K
2023 24 $322.00
2024 30 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 200 200 $7K
D1110 Prophylaxis - adult 59 59 $5K
D1208 Topical application of fluoride, excluding varnish 402 402 $4K
D0230 Intraoral - periapical each additional radiographic image 948 185 $4K
D0210 Intraoral - complete series of radiographic images 56 56 $2K
D1120 Prophylaxis - child 69 69 $2K
D0150 Comprehensive oral evaluation - new or established patient 46 46 $2K
D4910 14 14 $1K
D0272 Bitewings - two radiographic images 64 64 $694.00