Medicaid Provider Spending

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

POULDAR KIMIA AND LORENZ DENTAL PARTNERSHIP

NPI: 1639624463 · SHERMAN OAKS, CA 91411 · Periodontist · NPI assigned 08/22/2016

$14K
Total Medicaid Paid
510
Total Claims
291
Beneficiaries
8
Codes Billed
2022-08
First Month
2024-07
Last Month

Provider Details

Authorized OfficialKIMIA, DARA (PRESIDENT)
NPI Enumeration Date08/22/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 42 $2K
2023 326 $10K
2024 142 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 111 111 $7K
D0120 15 15 $1K
D0210 29 29 $1K
D1110 12 12 $990.00
D9430 30 28 $960.00
D0230 208 37 $816.14
D0274 34 34 $712.80
D0350 71 25 $662.40