Medicaid Provider Spending

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

MOJDEH FATEMI,DDS, A PROFESSIONAL CORPORATION

NPI: 1427431352 · BELL, CA 90201 · Dentist · NPI assigned 07/09/2015

$41K
Total Medicaid Paid
1,853
Total Claims
1,177
Beneficiaries
6
Codes Billed
2018-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialFATEMI, MOJDEH (PRESIDENT)
NPI Enumeration Date07/09/2015

Related Entities

Other providers sharing the same authorized official: FATEMI, MOJDEH

ProviderCityStateTotal Paid
MOJDEH FATEMI D.D.S., A CORPORATION MAYWOOD CA $48.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26 $940.00
2019 186 $7K
2020 16 $512.00
2021 236 $5K
2022 380 $7K
2023 463 $8K
2024 546 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9430 517 406 $17K
D0150 Comprehensive oral evaluation - new or established patient 179 179 $11K
D0210 Intraoral - complete series of radiographic images 147 147 $7K
D0230 Intraoral - periapical each additional radiographic image 966 401 $4K
D0120 Periodic oral evaluation - established patient 31 31 $2K
D0274 Bitewings - four radiographic images 13 13 $259.20