Medicaid Provider Spending

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

ARLINGTON DENTAL GROUP

NPI: 1649422197 · ARLINGTON, MA 02476 · General Practice Dentistry · NPI assigned 10/15/2008

$90K
Total Medicaid Paid
3,044
Total Claims
2,597
Beneficiaries
9
Codes Billed
2018-08
First Month
2022-12
Last Month

Provider Details

Authorized OfficialESBAH, FARIBA (PRESIDENT)
NPI Enumeration Date10/15/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 731 $23K
2019 1,219 $35K
2020 492 $15K
2021 534 $15K
2022 68 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 919 797 $41K
D0120 Periodic oral evaluation - established patient 1,210 1,052 $24K
D0274 Bitewings - four radiographic images 335 282 $10K
D0330 Panoramic radiographic image 78 68 $5K
D1208 Topical application of fluoride, excluding varnish 133 117 $3K
D0220 Intraoral - periapical first radiographic image 199 157 $2K
D0230 Intraoral - periapical each additional radiographic image 131 88 $1K
D1120 Prophylaxis - child 27 24 $1K
D9110 12 12 $564.00