Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › NORCO › PAYAM PEZESHKIAN D.D.S. INC.

PAYAM PEZESHKIAN D.D.S. INC.

NPI: 1609076116 · NORCO, CA 92860 · Dentist · NPI assigned 07/23/2007

$2K
Total Medicaid Paid
40
Total Claims
40
Beneficiaries
2
Codes Billed
2018-05
First Month
2019-07
Last Month

Provider Details

Authorized OfficialPEZESHKIAN, PAYAM PEZESHKIAN (OWNER)
NPI Enumeration Date07/23/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $455.00
2019 27 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 28 28 $1K
D1208 Topical application of fluoride, excluding varnish 12 12 $110.00