Medicaid Provider Spending

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

BALOUCH DDS CORPORATION

NPI: 1508485640 · PANORAMA CITY, CA 91402 · Dental Clinic/Center · NPI assigned 04/09/2020

$3K
Total Medicaid Paid
66
Total Claims
65
Beneficiaries
2
Codes Billed
2020-09
First Month
2020-12
Last Month

Provider Details

Authorized OfficialBALOUCH, ALI (CEO)
NPI Enumeration Date04/09/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 66 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 41 40 $3K
D0230 Intraoral - periapical each additional radiographic image 25 25 $413.10