RAGHIAN, ARDESHIR
NPI: 1265504617
· CHICAGO, IL 60634
· General Practice Dentistry
· NPI assigned 11/14/2006
$1.21M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
710 |
$94K |
| 2022 |
2,651 |
$345K |
| 2023 |
2,960 |
$462K |
| 2024 |
2,464 |
$308K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D4260 |
|
2,574 |
1,270 |
$982K |
| D4341 |
|
632 |
287 |
$91K |
| D0330 |
Panoramic radiographic image |
1,737 |
1,717 |
$34K |
| D0140 |
Limited oral evaluation - problem focused |
1,723 |
1,647 |
$32K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,032 |
991 |
$24K |
| D4910 |
|
373 |
369 |
$23K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
142 |
89 |
$14K |
| D1110 |
Prophylaxis - adult |
72 |
71 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
126 |
125 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
271 |
269 |
$2K |
| D0180 |
|
62 |
62 |
$105.25 |
| D0170 |
|
41 |
41 |
$63.15 |