Medicaid Provider Spending

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

KHALILI, FEREYDOUN

NPI: 1336368141 · SOUTH RICHMOND HILL, NY 11419 · General Practice Dentistry · NPI assigned 04/24/2007

$7K
Total Medicaid Paid
533
Total Claims
530
Beneficiaries
7
Codes Billed
2018-02
First Month
2019-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 436 $5K
2019 97 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 106 106 $3K
D0274 Bitewings - four radiographic images 145 145 $2K
D0120 Periodic oral evaluation - established patient 68 68 $930.47
D0230 Intraoral - periapical each additional radiographic image 125 123 $857.92
D0220 Intraoral - periapical first radiographic image 60 59 $242.87
D0150 Comprehensive oral evaluation - new or established patient 17 17 $180.45
D1208 Topical application of fluoride, excluding varnish 12 12 $101.32