Medicaid Provider Spending

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

MANASSAS DENTAL ASSOCIATES, PC

NPI: 1538380803 · MANASSAS, VA 20109 · General Practice Dentistry · NPI assigned 05/02/2007

$33K
Total Medicaid Paid
1,693
Total Claims
1,582
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialTAHERI, BRUCE (OWNER)
NPI Enumeration Date05/02/2007

Related Entities

Other providers sharing the same authorized official: TAHERI, BRUCE

ProviderCityStateTotal Paid
BRUCE TAHERI, DDS, PC WOODBRIDGE VA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,693 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 409 409 $8K
D9630 378 378 $8K
D1110 Prophylaxis - adult 113 112 $5K
D0120 Periodic oral evaluation - established patient 205 205 $4K
D1120 Prophylaxis - child 93 93 $3K
D0220 Intraoral - periapical first radiographic image 270 243 $3K
D0230 Intraoral - periapical each additional radiographic image 225 142 $2K