Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HUNTINGTON PARK
› PAYAM MOJAB DDS INC
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 Official
MOJAB, PAYAM
(PRESIDENT)
NPI Enumeration Date
12/28/2006
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
110
$799.43
2019
72
$656.10
2021
41
$163.20
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0230
Intraoral - periapical each additional radiographic image
158
87
$871.73
D0272
Bitewings - two radiographic images
65
65
$747.00