Medicaid Provider Spending

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

JASON FARR FAVAGEHI DDS III PC

NPI: 1780736355 · CHANTILLY, VA 20151 · 122300000X

$34K

Total Medicaid Paid

1,401

Total Claims

1,349

Beneficiaries

7

Codes Billed

2018-01

First Month

2019-04

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	988	$24K
2019	413	$10K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1120		287	287	$10K
D1206		419	418	$9K
D0120		413	406	$8K
D1110		56	51	$2K
D0272		120	119	$2K
D2392		22	12	$2K
D0220		84	56	$637.26