Medicaid Provider Spending

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

FAWZY TADROS DDS.INC

NPI: 1639417306 · SYLMAR, CA 91342 · Dental Clinic/Center · NPI assigned 01/30/2013

$82K
Total Medicaid Paid
5,216
Total Claims
4,180
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialTADROS, FAWZY (OWNER)
NPI Enumeration Date01/30/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,108 $14K
2019 1,196 $13K
2020 756 $11K
2021 1,177 $18K
2022 573 $13K
2023 320 $9K
2024 86 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,201 1,155 $37K
D1120 Prophylaxis - child 373 362 $10K
D1110 Prophylaxis - adult 203 199 $9K
D1206 Topical application of fluoride varnish 375 365 $8K
D0272 Bitewings - two radiographic images 703 689 $5K
D0230 Intraoral - periapical each additional radiographic image 1,556 779 $4K
D4341 86 24 $3K
D1999 626 516 $2K
D0150 Comprehensive oral evaluation - new or established patient 52 50 $2K
D0210 Intraoral - complete series of radiographic images 41 41 $1K