Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› DEYLAMIPOUR, SARA
DEYLAMIPOUR, SARA
NPI: 1275839938 · LAGUNA NIGUEL, CA 92677 ·
General Practice Dentistry
· NPI assigned 01/28/2011
$921.60
Total Medicaid Paid
27
Total Claims
26
Beneficiaries
1
Codes Billed
2018-07
First Month
2018-08
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
27
$921.60
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1120
Prophylaxis - child
27
26
$921.60