Medicaid Provider Spending

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

OMID R. KASHANI D.D.S., INC.

NPI: 1629232764 · MONROVIA, CA 91016 · Dental Clinic/Center · NPI assigned 07/17/2008

$11K
Total Medicaid Paid
425
Total Claims
406
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKASHANI, OMID (CEO)
NPI Enumeration Date07/17/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 134 $3K
2019 29 $337.00
2020 40 $2K
2021 16 $191.00
2022 69 $3K
2023 99 $2K
2024 38 $553.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 238 236 $3K
D0150 Comprehensive oral evaluation - new or established patient 71 63 $3K
D0210 Intraoral - complete series of radiographic images 78 70 $3K
D1120 Prophylaxis - child 26 25 $990.00
D0120 Periodic oral evaluation - established patient 12 12 $800.00