Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › VIENNA › JASON FARR FAVAGEHI DDC PC

JASON FARR FAVAGEHI DDC PC

NPI: 1588716534 · VIENNA, VA 22182 · Dentist · NPI assigned 01/18/2007

$12K
Total Medicaid Paid
554
Total Claims
551
Beneficiaries
5
Codes Billed
2019-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialFAVAGEHI, JASON (PRESIDENT)
NPI Enumeration Date01/18/2007

Related Entities

Other providers sharing the same authorized official: FAVAGEHI, JASON

ProviderCityStateTotal Paid
JASON FARR FAVAGEHI DDS III PC CHANTILLY VA $34K
CRYSTAL CITY DENTAL ARTS CENTER ARLINGTON VA $13K
JASON F FAVAGEHI DDS PC ARLINGTON VA $3K
CRYSTAL SMILE, PLLC ARLINGTON VA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $249.48
2022 231 $8K
2023 199 $3K
2024 112 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 212 211 $7K
D0120 Periodic oral evaluation - established patient 211 210 $3K
D0274 Bitewings - four radiographic images 76 76 $1K
D0220 Intraoral - periapical first radiographic image 43 42 $406.84
D1206 Topical application of fluoride varnish 12 12 $249.48