Medicaid Provider Spending

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

MOQATTASH DENTAL GROUP CORP

NPI: 1477915734 · VICTORVILLE, CA 92395 · General Practice Dentistry · NPI assigned 03/25/2016

$62K
Total Medicaid Paid
2,337
Total Claims
1,507
Beneficiaries
10
Codes Billed
2019-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialMOQATTASH, ALEXANDER (PRESIDENT)
NPI Enumeration Date03/25/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,161 $35K
2020 323 $11K
2021 234 $7K
2022 183 $3K
2023 315 $5K
2024 121 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 507 505 $33K
D0210 Intraoral - complete series of radiographic images 371 369 $17K
D1120 Prophylaxis - child 128 127 $4K
D0230 Intraoral - periapical each additional radiographic image 960 226 $4K
D1208 Topical application of fluoride, excluding varnish 142 141 $1K
D0274 Bitewings - four radiographic images 61 61 $1K
D0350 121 31 $1K
D0120 Periodic oral evaluation - established patient 20 20 $855.00
D1206 Topical application of fluoride varnish 12 12 $224.50
D0470 15 15 $0.00