Medicaid Provider Spending

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

BEHNAZ KHODADAD, DDS, INC

NPI: 1720226137 · MORENO VALLEY, CA 92557 · General Practice Dentistry · NPI assigned 01/23/2009

$19K
Total Medicaid Paid
925
Total Claims
730
Beneficiaries
8
Codes Billed
2018-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKHODADAD, BEHNAZ (DENTIST)
NPI Enumeration Date01/23/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 61 $869.15
2019 44 $1K
2020 82 $1K
2021 118 $3K
2022 269 $5K
2023 142 $4K
2024 209 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 110 110 $7K
D1208 Topical application of fluoride, excluding varnish 336 333 $4K
D0150 Comprehensive oral evaluation - new or established patient 40 40 $3K
D0350 122 42 $1K
D0274 Bitewings - four radiographic images 56 56 $1K
D0230 Intraoral - periapical each additional radiographic image 224 112 $907.20
D1120 Prophylaxis - child 25 25 $720.00
D0210 Intraoral - complete series of radiographic images 12 12 $552.00