Medicaid Provider Spending

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

REZA SHIRAZI DDS INC

NPI: 1437849858 · HESPERIA, CA 92345 · General Practice Dentistry · NPI assigned 05/09/2023

$33K
Total Medicaid Paid
495
Total Claims
488
Beneficiaries
5
Codes Billed
2024-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSHIRAZI, REZA (PRESIDENT)
NPI Enumeration Date05/09/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 495 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 218 218 $14K
D0210 Intraoral - complete series of radiographic images 184 183 $9K
D2751 Crown - porcelain fused to predominantly base metal 18 12 $9K
D1208 Topical application of fluoride, excluding varnish 62 62 $971.50
D1120 Prophylaxis - child 13 13 $682.50