Medicaid Provider Spending

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

MODEL DENTAL CLINIC

NPI: 1548392152 · COLUMBIA, MD 21046 · General Practice Dentistry · NPI assigned 03/09/2007

$35K
Total Medicaid Paid
674
Total Claims
653
Beneficiaries
6
Codes Billed
2019-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialATAPOUR, ROGHIEH (OWNER DENTIST)
NPI Enumeration Date03/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $566.50
2023 539 $29K
2024 123 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 233 229 $15K
D0150 Comprehensive oral evaluation - new or established patient 118 117 $6K
D0210 Intraoral - complete series of radiographic images 82 81 $5K
D1208 Topical application of fluoride, excluding varnish 150 149 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 26 12 $3K
D0120 Periodic oral evaluation - established patient 65 65 $2K