Medicaid Provider Spending

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

121 DENTAL CARE, PA

NPI: 1346483062 · LEWISVILLE, TX 75057 · Dentist · NPI assigned 04/10/2009

$66K
Total Medicaid Paid
3,696
Total Claims
3,606
Beneficiaries
13
Codes Billed
2020-12
First Month
2024-08
Last Month

Provider Details

Authorized OfficialVAHADI, AFSHIN (PRESIDENT)
NPI Enumeration Date04/10/2009

Related Entities

Other providers sharing the same authorized official: VAHADI, AFSHIN

ProviderCityStateTotal Paid
AESTHETIC DENTISTRY, PA FRISCO TX $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 79 $1K
2021 866 $15K
2022 1,255 $26K
2023 993 $16K
2024 503 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 740 737 $21K
D1120 Prophylaxis - child 394 393 $14K
D1208 Topical application of fluoride, excluding varnish 860 857 $12K
D0220 Intraoral - periapical first radiographic image 386 383 $5K
D0230 Intraoral - periapical each additional radiographic image 356 339 $4K
D1110 Prophylaxis - adult 56 56 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 27 13 $2K
D1351 Sealant - per tooth 58 13 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 43 40 $1K
D0272 Bitewings - two radiographic images 46 46 $1K
D0274 Bitewings - four radiographic images 12 12 $380.71
D0603 612 612 $0.00
D0602 106 105 $0.00