Medicaid Provider Spending

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

F ESFANDIARI DENTAL CORPORATION

NPI: 1467633164 · THOUSAND OAKS, CA 91360 · General Practice Dentistry · NPI assigned 11/21/2007

$36K
Total Medicaid Paid
1,822
Total Claims
1,595
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialESFANDIARI, FARSHID (OWNER)
NPI Enumeration Date11/21/2007

Related Entities

Other providers sharing the same authorized official: ESFANDIARI, FARSHID

ProviderCityStateTotal Paid
F ESFANDIARI DENTAL CORPORATION VENTURA CA $99K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 764 $13K
2019 298 $7K
2020 218 $4K
2021 247 $8K
2022 123 $1K
2023 145 $4K
2024 27 $396.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 219 216 $11K
D1208 Topical application of fluoride, excluding varnish 658 652 $8K
D0120 Periodic oral evaluation - established patient 130 128 $5K
D0210 Intraoral - complete series of radiographic images 84 82 $4K
D0274 Bitewings - four radiographic images 135 132 $3K
D1120 Prophylaxis - child 88 84 $2K
D1110 Prophylaxis - adult 25 25 $2K
D0230 Intraoral - periapical each additional radiographic image 432 246 $2K
D0350 51 30 $376.80