Medicaid Provider Spending

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

ASCARZADEH DENTAL GROUP

NPI: 1609551944 · TUSTIN, CA 92780 · Dentist · NPI assigned 06/15/2023

$40K
Total Medicaid Paid
1,414
Total Claims
694
Beneficiaries
11
Codes Billed
2023-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialASCARZADEH, GHOLAMABBAS (PRESIDENT/OWNER)
NPI Enumeration Date06/15/2023

Related Entities

Other providers sharing the same authorized official: ASCARZADEH, GHOLAMABBAS

ProviderCityStateTotal Paid
ABBAS FAMILY DENTISTRY INC HELENA AL $139K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 235 $8K
2024 1,179 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2751 Crown - porcelain fused to predominantly base metal 19 13 $9K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 117 45 $8K
D0150 Comprehensive oral evaluation - new or established patient 115 115 $7K
D0350 700 193 $7K
D0210 Intraoral - complete series of radiographic images 55 55 $3K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 22 12 $2K
D9430 45 39 $1K
D1110 Prophylaxis - adult 14 14 $1K
D0220 Intraoral - periapical first radiographic image 97 83 $1K
D1208 Topical application of fluoride, excluding varnish 66 66 $955.50
D0230 Intraoral - periapical each additional radiographic image 164 59 $623.70