Medicaid Provider Spending

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

ALLEN, FARNOUSH

NPI: 1407957392 · GREENBELT, MD 20770 · General Practice Dentistry · NPI assigned 09/26/2006

$14K
Total Medicaid Paid
449
Total Claims
446
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 449 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 169 168 $5K
D1120 Prophylaxis - child 100 99 $4K
D1208 Topical application of fluoride, excluding varnish 137 136 $3K
D1110 Prophylaxis - adult 19 19 $1K
D0274 Bitewings - four radiographic images 12 12 $264.00
D0272 Bitewings - two radiographic images 12 12 $180.00