Medicaid Provider Spending

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

TAJIK NAMINIK & KOSHKI DDS INC

NPI: 1710332838 · NORTH HOLLYWOOD, CA 91606 · General Practice Dentistry · NPI assigned 04/26/2016

$28K
Total Medicaid Paid
904
Total Claims
730
Beneficiaries
9
Codes Billed
2020-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTAJIK, KASRA (DENTIST)
NPI Enumeration Date04/26/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 27 $1K
2021 64 $3K
2022 93 $3K
2023 229 $6K
2024 491 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 90 90 $8K
D0150 Comprehensive oral evaluation - new or established patient 94 94 $6K
D9430 121 106 $4K
D0120 Periodic oral evaluation - established patient 48 48 $4K
D1206 Topical application of fluoride varnish 183 183 $3K
D0210 Intraoral - complete series of radiographic images 28 28 $1K
D0230 Intraoral - periapical each additional radiographic image 291 132 $1K
D0274 Bitewings - four radiographic images 36 36 $777.60
D1208 Topical application of fluoride, excluding varnish 13 13 $193.00