Medicaid Provider Spending

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

HAYAT ALI DDS INC

NPI: 1790955532 · MENTOR, OH 44060 · General Practice Dentistry · NPI assigned 03/07/2008

$32K
Total Medicaid Paid
1,074
Total Claims
996
Beneficiaries
8
Codes Billed
2018-10
First Month
2021-06
Last Month

Provider Details

Authorized OfficialALI, HAYAT (OWNER)
Parent OrganizationHAYAT ALI DDS INC
NPI Enumeration Date03/07/2008

Related Entities

Other providers sharing the same authorized official: ALI, HAYAT

ProviderCityStateTotal Paid
HAYAT ALI DDS INC CLEVELAND OH $5.64M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 88 $2K
2019 354 $11K
2020 334 $10K
2021 298 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 331 312 $11K
D0330 Panoramic radiographic image 159 149 $7K
D0150 Comprehensive oral evaluation - new or established patient 214 203 $6K
D0120 Periodic oral evaluation - established patient 214 201 $4K
D7140 Extraction, erupted tooth or exposed root 47 24 $2K
D0274 Bitewings - four radiographic images 58 56 $1K
D1120 Prophylaxis - child 24 24 $440.00
D1208 Topical application of fluoride, excluding varnish 27 27 $405.00