Medicaid Provider Spending

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

MATT NIKPOURFARD DDS PC

NPI: 1366864316 · ASHBURN, VA 20147 · Dentist · NPI assigned 01/10/2014

$11K
Total Medicaid Paid
647
Total Claims
620
Beneficiaries
6
Codes Billed
2021-11
First Month
2024-08
Last Month

Provider Details

Authorized OfficialNIKPOURFARD, MATT (DDS)
NPI Enumeration Date01/10/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 13 $145.34
2022 197 $5K
2023 324 $7K
2024 113 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 115 115 $5K
D0120 Periodic oral evaluation - established patient 211 207 $3K
D0220 Intraoral - periapical first radiographic image 255 246 $2K
D0274 Bitewings - four radiographic images 27 27 $816.96
D0140 Limited oral evaluation - problem focused 13 12 $419.64
D0230 Intraoral - periapical each additional radiographic image 26 13 $290.68