Medicaid Provider Spending

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

JAVOD K GOL DDS PC

NPI: 1659816254 · COLUMBIA, MD 21045 · General Practice Dentistry · NPI assigned 01/05/2017

$61K
Total Medicaid Paid
1,997
Total Claims
1,909
Beneficiaries
6
Codes Billed
2018-02
First Month
2023-12
Last Month

Provider Details

Authorized OfficialKAZEMIZADEH GOL, JAVOD (OWNER/DENTIST)
NPI Enumeration Date01/05/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 266 $8K
2019 357 $10K
2020 302 $9K
2021 428 $13K
2022 255 $8K
2023 389 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 755 742 $22K
D1206 Topical application of fluoride varnish 790 777 $19K
D1110 Prophylaxis - adult 165 165 $10K
D1120 Prophylaxis - child 176 167 $7K
D1351 Sealant - per tooth 65 12 $2K
D1330 46 46 $276.00