Medicaid Provider Spending

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

PEYAM MOJALLAL OD AND ASSOCIATES

NPI: 1679615009 · ASHBURN, VA 20147 · Optometrist · NPI assigned 02/13/2007

$193.61
Total Medicaid Paid
26
Total Claims
13
Beneficiaries
1
Codes Billed
2019-02
First Month
2019-02
Last Month

Provider Details

Authorized OfficialMOJALLAL, PEYAM (OWNER PRESIDENT)
NPI Enumeration Date02/13/2007

Related Entities

Other providers sharing the same authorized official: MOJALLAL, PEYAM

ProviderCityStateTotal Paid
ACUITY VISION CARE PC ASHBURN VA $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 26 $193.61

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92250 26 13 $193.61