Medicaid Provider Spending

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

RAEDA A. KASSAR DENTAL CORPORATION

NPI: 1497410799 · GLENDORA, CA 91741 · 122300000X

$175K
Total Medicaid Paid
5,186
Total Claims
4,097
Beneficiaries
14
Codes Billed
2022-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 1,795 $74K
2023 1,769 $55K
2024 1,622 $45K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9430 1,314 1,064 $42K
D4910 500 499 $38K
D0150 388 385 $26K
D0120 186 186 $16K
D0210 303 301 $14K
D1110 134 134 $12K
D1208 551 551 $8K
D1320 308 305 $5K
D0230 1,160 330 $5K
D1120 67 67 $4K
D0274 119 119 $2K
D1206 69 69 $1K
D0220 73 73 $876.00
D0250 14 14 $308.00