Medicaid Provider Spending

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

PAYAM MOJAB DDS INC

NPI: 1861558470 · HUNTINGTON PARK, CA 90255 · Dentist · NPI assigned 12/28/2006

$2K
Total Medicaid Paid
223
Total Claims
152
Beneficiaries
2
Codes Billed
2018-01
First Month
2021-08
Last Month

Provider Details

Authorized OfficialMOJAB, PAYAM (PRESIDENT)
NPI Enumeration Date12/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 110 $799.43
2019 72 $656.10
2021 41 $163.20

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 158 87 $871.73
D0272 Bitewings - two radiographic images 65 65 $747.00