Medicaid Provider Spending

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

XPERTSMILE, INC

NPI: 1538708409 · BELLEVUE, WA 98006 · Dentist · NPI assigned 12/24/2019

$11K
Total Medicaid Paid
355
Total Claims
273
Beneficiaries
7
Codes Billed
2021-02
First Month
2024-02
Last Month

Provider Details

Authorized OfficialRAZOUMOVITCH, ARKADI (PRESIDENT)
NPI Enumeration Date12/24/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 36 $1K
2023 251 $8K
2024 68 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 109 90 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 46 16 $3K
D0150 Comprehensive oral evaluation - new or established patient 45 40 $2K
D0274 Bitewings - four radiographic images 112 88 $1K
D0140 Limited oral evaluation - problem focused 16 15 $515.20
D1110 Prophylaxis - adult 14 12 $488.19
D1206 Topical application of fluoride varnish 13 12 $302.34