Medicaid Provider Spending

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

AESTHETIC DENTISTRY, PA

NPI: 1619123536 · FRISCO, TX 75035 · General Practice Dentistry · NPI assigned 08/12/2008

$13K
Total Medicaid Paid
745
Total Claims
741
Beneficiary Records
9
Codes Billed
2021-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialVAHADI, AFSHIN (PRESIDENT)
NPI Enumeration Date08/12/2008

Related Entities

Other providers sharing the same authorized official: VAHADI, AFSHIN

ProviderCityStateTotal Paid
121 DENTAL CARE, PA LEWISVILLE TX $66K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 226 $4K
2022 286 $6K
2023 173 $3K
2024 60 $1K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0120 Periodic oral evaluation - established patient 202 201 $6K
D1208 Topical application of fluoride, excluding varnish 229 228 $3K
D1120 Prophylaxis - child 36 36 $1K
D0220 Intraoral - periapical first radiographic image 84 83 $1K
D0230 Intraoral - periapical each additional radiographic image 83 82 $897.78
D1110 Prophylaxis - adult 13 13 $713.44
D0274 Bitewings - four radiographic images 12 12 $415.32
D0602 12 12 $0.00
D0603 74 74 $0.00