Medicaid Provider Spending

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

YADOLLAHIBASTANI, SASAN

NPI: 1558793323 · BAYTOWN, TX 77520 · Dentist · NPI assigned 08/05/2013

$55K
Total Medicaid Paid
3,663
Total Claims
3,146
Beneficiaries
11
Codes Billed
2020-11
First Month
2024-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 199 $4K
2021 2,681 $40K
2022 522 $7K
2023 233 $3K
2024 28 $191.10

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0145 Oral evaluation for a patient under three years of age 120 106 $14K
D0120 Periodic oral evaluation - established patient 484 412 $10K
D1120 Prophylaxis - child 320 271 $8K
D1208 Topical application of fluoride, excluding varnish 568 492 $6K
D1110 Prophylaxis - adult 151 124 $5K
D0220 Intraoral - periapical first radiographic image 509 431 $5K
D0230 Intraoral - periapical each additional radiographic image 469 401 $4K
D0274 Bitewings - four radiographic images 65 48 $1K
D0272 Bitewings - two radiographic images 47 39 $591.36
D0150 Comprehensive oral evaluation - new or established patient 23 21 $565.12
D0603 907 801 $0.00