Medicaid Provider Spending

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

POORAN DALWANI DDS INC

NPI: 1790918381 · INGLEWOOD, CA 90301 · Dentist · NPI assigned 08/28/2009

$4K
Total Medicaid Paid
326
Total Claims
200
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-07
Last Month

Provider Details

Authorized OfficialDALWANI, MAMTA (DENTIST)
NPI Enumeration Date08/28/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 326 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 33 30 $871.00
D1120 Prophylaxis - child 29 27 $735.00
D9430 35 32 $700.00
D0230 Intraoral - periapical each additional radiographic image 176 64 $588.30
D0274 Bitewings - four radiographic images 40 35 $517.50
D0210 Intraoral - complete series of radiographic images 13 12 $396.00