Medicaid Provider Spending

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

LOWER COLUMBIA ORAL HEALTH

NPI: 1477508794 · LONGVIEW, WA 98632 · General Practice Dentistry · NPI assigned 05/24/2006

$642.04
Total Medicaid Paid
25
Total Claims
25
Beneficiaries
2
Codes Billed
2018-05
First Month
2019-01
Last Month

Provider Details

Authorized OfficialHAGHIGHI, DANIEL (OWNER)
NPI Enumeration Date05/24/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $252.10
2019 13 $389.94

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 13 13 $389.94
D0120 Periodic oral evaluation - established patient 12 12 $252.10