Medicaid Provider Spending

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

VISTA VILLAGE DENTAL

NPI: 1447441712 · SANTA CLARITA, CA 91321 · Dentist · NPI assigned 08/05/2007

$21K
Total Medicaid Paid
688
Total Claims
618
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHAKIMI, SEAN (OWNER)
NPI Enumeration Date08/05/2007

Related Entities

Other providers sharing the same authorized official: HAKIMI, SEAN

ProviderCityStateTotal Paid
CRESCENTA FAMILY DENTAL LA CRESCENTA CA $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 151 $3K
2019 12 $408.00
2020 25 $1K
2021 76 $3K
2022 120 $4K
2023 104 $3K
2024 200 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 278 253 $12K
D0210 Intraoral - complete series of radiographic images 193 176 $6K
D0120 Periodic oral evaluation - established patient 51 51 $3K
D1206 Topical application of fluoride varnish 28 28 $617.00
D0274 Bitewings - four radiographic images 29 29 $399.60
D0230 Intraoral - periapical each additional radiographic image 97 69 $297.44
D0220 Intraoral - periapical first radiographic image 12 12 $54.00