Medicaid Provider Spending

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

SOHEIL KHODADADI DMD, DDS, INC.

NPI: 1295927275 · HEMET, CA 92544 · General Practice Dentistry · NPI assigned 08/14/2007

$2K
Total Medicaid Paid
155
Total Claims
94
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-03
Last Month

Provider Details

Authorized OfficialKHODADADI, SOHEIL (OWNER/CEO)
NPI Enumeration Date08/14/2007

Related Entities

Other providers sharing the same authorized official: KHODADADI, SOHEIL

ProviderCityStateTotal Paid
SOHEIL KHODADADI DMD DDS INC BEVERLY HILLS CA $411K
ZARAGOZA DENTAL CARE PLLC EL PASO TX $323K
OMNI ENDODONTICS, PLLC EL PASO TX $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 155 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 40 40 $1K
D0210 Intraoral - complete series of radiographic images 14 14 $540.00
D0230 Intraoral - periapical each additional radiographic image 88 27 $256.50
D0120 Periodic oral evaluation - established patient 13 13 $247.50