Medicaid Provider Spending

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

AZ DENTAL PLLC

NPI: 1720760598 · PUTNAM, CT 06260 · General Practice Dentistry · NPI assigned 08/02/2023

$18K
Total Medicaid Paid
464
Total Claims
443
Beneficiaries
5
Codes Billed
2023-08
First Month
2023-12
Last Month

Provider Details

Authorized OfficialABOU ZAKHEM, YAZAN (DENTIST)
NPI Enumeration Date08/02/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 464 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 155 149 $7K
D0120 Periodic oral evaluation - established patient 129 125 $4K
D1206 Topical application of fluoride varnish 145 140 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 17 13 $2K
D0274 Bitewings - four radiographic images 18 16 $752.64