Medicaid Provider Spending

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

NPI: 1538351234 · WOODBRIDGE, VA 22192 · General Practice Dentistry · NPI assigned 08/16/2007

$3K
Total Medicaid Paid
147
Total Claims
147
Beneficiaries
3
Codes Billed
2018-02
First Month
2018-10
Last Month

Provider Details

Authorized OfficialTAHERI, BRUCE (DENTIST/OWNER)
NPI Enumeration Date08/16/2007

Related Entities

Other providers sharing the same authorized official: TAHERI, BRUCE

ProviderCityStateTotal Paid
MANASSAS DENTAL ASSOCIATES, PC MANASSAS VA $33K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 147 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 80 80 $2K
D0120 Periodic oral evaluation - established patient 41 41 $826.15
D9630 26 26 $516.62