Medicaid Provider Spending

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

AZIN H. KOLAHI DMD INC. A PROFESSIONAL CORPORATION

NPI: 1699266775 · WOODLAND HILLS, CA 91367 · General Practice Dentistry · NPI assigned 05/23/2018

$14K
Total Medicaid Paid
1,030
Total Claims
430
Beneficiaries
7
Codes Billed
2021-09
First Month
2024-08
Last Month

Provider Details

Authorized OfficialESPARZA, FANNIE (MANAGER)
NPI Enumeration Date05/23/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 193 $1K
2022 289 $4K
2023 293 $4K
2024 255 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 113 110 $6K
D0120 Periodic oral evaluation - established patient 41 41 $3K
D0230 Intraoral - periapical each additional radiographic image 746 154 $3K
D1208 Topical application of fluoride, excluding varnish 75 71 $1K
D0220 Intraoral - periapical first radiographic image 28 27 $324.00
D1206 Topical application of fluoride varnish 15 15 $297.50
D1320 12 12 $135.00