FARIBA AHMADZADEH DENTAL CORP.
NPI: 1568668069
· VAN NUYS, CA 91405
· Dentist
· NPI assigned 06/22/2007
$318K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,019 |
$34K |
| 2019 |
3,047 |
$40K |
| 2020 |
2,193 |
$30K |
| 2021 |
3,106 |
$44K |
| 2022 |
3,140 |
$66K |
| 2023 |
2,322 |
$48K |
| 2024 |
2,358 |
$54K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,054 |
2,049 |
$114K |
| D1120 |
Prophylaxis - child |
1,600 |
1,599 |
$62K |
| D0230 |
Intraoral - periapical each additional radiographic image |
11,225 |
2,218 |
$49K |
| D0274 |
Bitewings - four radiographic images |
1,313 |
1,309 |
$28K |
| D1110 |
Prophylaxis - adult |
305 |
305 |
$27K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,131 |
2,127 |
$27K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
60 |
60 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
81 |
81 |
$4K |
| D1351 |
Sealant - per tooth |
74 |
28 |
$2K |
| D0272 |
Bitewings - two radiographic images |
53 |
53 |
$569.00 |
| D1999 |
|
289 |
273 |
$200.00 |