Medicaid Provider Spending

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

LORTONTOWN DENTAL

NPI: 1669097044 · LORTON, VA 22079 · Dental Clinic/Center · NPI assigned 06/11/2020

$25K
Total Medicaid Paid
1,811
Total Claims
1,552
Beneficiaries
11
Codes Billed
2020-09
First Month
2024-08
Last Month

Provider Details

Authorized OfficialKHATTAB, SAMER (CEO)
NPI Enumeration Date06/11/2020

Related Entities

Other providers sharing the same authorized official: KHATTAB, SAMER

ProviderCityStateTotal Paid
KHATTAB UTHMAN DENTAL ASSOCIATES WOODBRIDGE VA $276K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 164 $2K
2021 214 $3K
2022 60 $2K
2023 877 $18K
2024 496 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2393 40 12 $5K
D0150 184 177 $5K
D0274 239 239 $4K
D0220 512 492 $4K
D0230 494 312 $4K
D1110 183 183 $2K
D0330 18 17 $1K
D0140 12 12 $273.13
D0120 69 69 $241.80
D2740 16 13 $0.00
D2392 44 26 $0.00