Medicaid Provider Spending

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

RAFIK RIAD DDS INC

NPI: 1669146478 · POWAY, CA 92064 · Dental Clinic/Center · NPI assigned 08/04/2021

$23K
Total Medicaid Paid
373
Total Claims
355
Beneficiaries
6
Codes Billed
2023-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFLATTEM, ALLECIA (OPERATIONS MANAGER)
NPI Enumeration Date08/04/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 42 $3K
2024 331 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 159 159 $10K
D0210 Intraoral - complete series of radiographic images 96 96 $5K
D1110 Prophylaxis - adult 45 45 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 44 26 $3K
D0120 Periodic oral evaluation - established patient 13 13 $815.00
D1208 Topical application of fluoride, excluding varnish 16 16 $232.00