Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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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 Official
KIMIA, DARA
(PRESIDENT)
NPI Enumeration Date
08/22/2016
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2022
42
$2K
2023
326
$10K
2024
142
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total 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