Medicaid Provider Spending

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

H IBRAHIM DENTAL CORPORATION

NPI: 1407171374 · TEMECULA, CA 92592 · General Practice Dentistry · NPI assigned 04/02/2010

$85K
Total Medicaid Paid
2,728
Total Claims
1,604
Beneficiaries
14
Codes Billed
2019-03
First Month
2020-02
Last Month

Provider Details

Authorized OfficialABRAHAM, HENRY (OWNER DENTIST)
NPI Enumeration Date04/02/2010

Related Entities

Other providers sharing the same authorized official: ABRAHAM, HENRY

ProviderCityStateTotal Paid
HENRY ABRAHAM DDS INC TEMECULA CA $2.94M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,238 $78K
2020 490 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 334 334 $22K
D1110 Prophylaxis - adult 180 179 $16K
D0210 Intraoral - complete series of radiographic images 257 257 $12K
D0350 1,111 292 $10K
D2394 60 31 $5K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 69 30 $5K
D1208 Topical application of fluoride, excluding varnish 287 287 $4K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 46 27 $4K
D4341 46 12 $3K
D1120 Prophylaxis - child 43 43 $1K
D0330 Panoramic radiographic image 38 38 $1K
D4910 12 12 $924.00
D0230 Intraoral - periapical each additional radiographic image 230 48 $923.40
D9430 15 14 $480.00