Medicaid Provider Spending

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

MANA SHOEYBI DDS LLC

NPI: 1518632538 · HIGHLAND, MD 20777 · Dentist · NPI assigned 08/11/2021

$7K
Total Medicaid Paid
201
Total Claims
201
Beneficiaries
4
Codes Billed
2022-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSHOEYBI, MANA (OWNER)
NPI Enumeration Date08/11/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 27 $407.96
2023 41 $1K
2024 133 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 41 41 $3K
D1206 Topical application of fluoride varnish 90 90 $2K
D0120 Periodic oral evaluation - established patient 56 56 $2K
D1330 14 14 $84.00