Medicaid Provider Spending

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

OAK HARBOR DENTAL, CASSIM AHMED D.D.S. AND NIVINE DUGHAYLI DDS, LLC

NPI: 1679238729 · OAK HARBOR, OH 43449 · Dental Clinic/Center · NPI assigned 11/03/2021

$3K
Total Medicaid Paid
206
Total Claims
204
Beneficiaries
5
Codes Billed
2022-05
First Month
2023-01
Last Month

Provider Details

Authorized OfficialAHMED, CASSIM (OWNER/PROVIDER)
NPI Enumeration Date11/03/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 181 $3K
2023 25 $296.09

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 77 76 $1K
D1110 Prophylaxis - adult 30 30 $1K
D1208 Topical application of fluoride, excluding varnish 28 28 $441.00
D0220 Intraoral - periapical first radiographic image 59 58 $304.50
D0230 Intraoral - periapical each additional radiographic image 12 12 $63.00