Medicaid Provider Spending

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

NIKTASH DENTAL CORPORATION

NPI: 1407267974 · SAN JUAN CAPISTRANO, CA 92675 · General Practice Dentistry · NPI assigned 05/17/2014

$2K
Total Medicaid Paid
127
Total Claims
57
Beneficiaries
3
Codes Billed
2024-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNIKTASH, MOJGAN (DENTIST)
NPI Enumeration Date05/17/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 127 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 13 13 $1K
D0350 100 30 $960.00
D1206 Topical application of fluoride varnish 14 14 $228.00