Medicaid Provider Spending

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

ALKHOURI, FAYROUZ

NPI: 1417681925 · COMMERCE TOWNSHIP, MI 48390 · General Practice Dentistry · NPI assigned 07/11/2022

$8K
Total Medicaid Paid
480
Total Claims
405
Beneficiaries
7
Codes Billed
2023-08
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 205 $8K
2024 275 $111.24

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D4341 88 37 $6K
D0220 Intraoral - periapical first radiographic image 234 219 $652.57
D0150 Comprehensive oral evaluation - new or established patient 12 12 $538.92
D1110 Prophylaxis - adult 27 27 $57.75
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 21 12 $0.00
D0120 Periodic oral evaluation - established patient 86 86 $0.00
D0230 Intraoral - periapical each additional radiographic image 12 12 $0.00