Medicaid Provider Spending

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

MAZIAR IZADI DDS INC

NPI: 1770028201 · SIMI VALLEY, CA 93065 · Point of Service · NPI assigned 12/19/2016

$28K
Total Medicaid Paid
1,623
Total Claims
814
Beneficiaries
8
Codes Billed
2018-03
First Month
2023-02
Last Month

Provider Details

Authorized OfficialIZADI, MAZIAR (DDS/OWNER)
NPI Enumeration Date12/19/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 423 $4K
2019 218 $2K
2020 330 $5K
2021 397 $8K
2022 238 $8K
2023 17 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 230 228 $14K
D0230 Intraoral - periapical each additional radiographic image 1,071 270 $4K
D1120 Prophylaxis - child 78 76 $3K
D0274 Bitewings - four radiographic images 133 132 $3K
D0210 Intraoral - complete series of radiographic images 38 38 $2K
D1110 Prophylaxis - adult 12 12 $930.50
D1208 Topical application of fluoride, excluding varnish 48 46 $572.00
D0120 Periodic oral evaluation - established patient 13 12 $0.00