Medicaid Provider Spending

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

KAKOLI,RAMTIN & TABIBZADEH DENTAL CORP

NPI: 1750008298 · SANTA CLARITA, CA 91351 · Dental Clinic/Center · NPI assigned 10/25/2022

$59K
Total Medicaid Paid
907
Total Claims
762
Beneficiaries
10
Codes Billed
2024-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAMTIN, PARHAM (CEO)
NPI Enumeration Date10/25/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 907 $59K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 225 225 $15K
D4341 126 33 $9K
D2740 Crown - porcelain/ceramic 15 13 $7K
D0210 Intraoral - complete series of radiographic images 147 147 $7K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 52 26 $6K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 63 40 $4K
D1110 Prophylaxis - adult 52 52 $4K
D1120 Prophylaxis - child 69 69 $4K
D1206 Topical application of fluoride varnish 120 119 $2K
D0274 Bitewings - four radiographic images 38 38 $648.00