Medicaid Provider Spending

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

MEHRDOKHT MEHRVARZI DENTAL CORP.

NPI: 1407196587 · SAN JUAN CAPISTRANO, CA 92675 · Dental Clinic/Center · NPI assigned 02/26/2013

$3K
Total Medicaid Paid
54
Total Claims
53
Beneficiaries
3
Codes Billed
2018-05
First Month
2020-02
Last Month

Provider Details

Authorized OfficialMEHRVARZI, MEHRDOKHT (PRESIDENT)
NPI Enumeration Date02/26/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 41 $2K
2020 13 $585.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 28 27 $1K
D0210 Intraoral - complete series of radiographic images 13 13 $624.00
D0120 Periodic oral evaluation - established patient 13 13 $585.00