Medicaid Provider Spending

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

LAUREL DENTAL ASSOCIATES, P.C.

NPI: 1578310827 · LAUREL, MD 20708 · General Practice Dentistry · NPI assigned 05/03/2024

$25K
Total Medicaid Paid
458
Total Claims
431
Beneficiaries
6
Codes Billed
2024-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialREZAIYAN, NIMA (OWNER)
NPI Enumeration Date05/03/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 458 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 152 152 $9K
D0210 Intraoral - complete series of radiographic images 100 100 $6K
D2391 Resin-based composite - one surface, posterior, primary or permanent 41 14 $4K
D1110 Prophylaxis - adult 65 65 $4K
D1206 Topical application of fluoride varnish 72 72 $2K
D0220 Intraoral - periapical first radiographic image 28 28 $330.96