Medicaid Provider Spending

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

ROYA NEMATOLLAHI D.D.S. INC

NPI: 1326462730 · TUSTIN, CA 92780 · 1223G0001X

$27K

Total Medicaid Paid

685

Total Claims

664

Beneficiaries

8

Codes Billed

2018-01

First Month

2024-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	214	$7K
2019	39	$1K
2021	104	$5K
2022	49	$1K
2023	123	$6K
2024	156	$7K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0150		223	220	$12K
D0210		172	165	$7K
D1206		157	157	$2K
D2392		23	14	$2K
D1110		13	13	$1K
D0120		12	12	$880.00
D1120		28	27	$750.00
D1208		57	56	$522.00