Medicaid Provider Spending

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

DENTAL ASSOCIATES OF HUNTINGTON BEACH

NPI: 1619131380 · HUNTINGTON BEACH, CA 92649 · Dentist · NPI assigned 07/11/2008

$13K
Total Medicaid Paid
914
Total Claims
728
Beneficiaries
8
Codes Billed
2018-01
First Month
2018-05
Last Month

Provider Details

Authorized OfficialAL-JANEDI, MOHDSAMEER (OWNER)
NPI Enumeration Date07/11/2008

Related Entities

Other providers sharing the same authorized official: AL-JANEDI, MOHDSAMEER

ProviderCityStateTotal Paid
MOHDSAMEER ALJANEDI DENTAL CORPORATION HUNTINGTON BEACH CA $76K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 914 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 112 111 $3K
D0150 Comprehensive oral evaluation - new or established patient 96 92 $3K
D0120 Periodic oral evaluation - established patient 132 129 $2K
D0210 Intraoral - complete series of radiographic images 28 27 $1K
D0272 Bitewings - two radiographic images 106 104 $1K
D0230 Intraoral - periapical each additional radiographic image 335 161 $995.88
D1208 Topical application of fluoride, excluding varnish 91 90 $812.00
D0274 Bitewings - four radiographic images 14 14 $252.00