Medicaid Provider Spending

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

ALZAYAT, SAMEH

NPI: 1710137427 · CEDAR PARK, TX 78613 · Pediatric Dentist · NPI assigned 09/30/2008

$10K
Total Medicaid Paid
578
Total Claims
577
Beneficiaries
10
Codes Billed
2023-05
First Month
2024-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 14 $0.00
2024 564 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 85 85 $2K
D1110 Prophylaxis - adult 37 37 $2K
D1206 Topical application of fluoride varnish 88 88 $1K
D0274 Bitewings - four radiographic images 33 33 $1K
D0220 Intraoral - periapical first radiographic image 77 77 $954.56
D1120 Prophylaxis - child 26 26 $918.75
D0230 Intraoral - periapical each additional radiographic image 75 75 $851.74
D0272 Bitewings - two radiographic images 25 25 $561.12
D0602 14 13 $0.00
D0603 118 118 $0.00