Medicaid Provider Spending

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

ANOOSH ZADFAR DDS, DENTAL CORPORATION

NPI: 1568900579 · CHATSWORTH, CA 91311 · Dental Clinic/Center · NPI assigned 02/09/2017

$72K
Total Medicaid Paid
1,349
Total Claims
1,154
Beneficiaries
11
Codes Billed
2019-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialZADFAR, ANOOSH (PRESIDENT)
NPI Enumeration Date02/09/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 65 $4K
2020 99 $6K
2021 145 $2K
2022 97 $16K
2023 371 $15K
2024 572 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 315 315 $21K
D0120 Periodic oral evaluation - established patient 177 177 $13K
D2740 Crown - porcelain/ceramic 26 12 $12K
D4910 121 121 $9K
D1110 Prophylaxis - adult 61 61 $5K
D0210 Intraoral - complete series of radiographic images 95 95 $5K
D1208 Topical application of fluoride, excluding varnish 263 263 $4K
D0230 Intraoral - periapical each additional radiographic image 222 41 $862.65
D1120 Prophylaxis - child 15 15 $787.50
D0274 Bitewings - four radiographic images 26 26 $561.60
D0220 Intraoral - periapical first radiographic image 28 28 $336.00