Medicaid Provider Spending

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

HOMATI&KOLAHI A DENTAL CORPORATION

NPI: 1861814048 · CUDAHY, CA 90201 · Dentist · NPI assigned 01/07/2014

$54K
Total Medicaid Paid
3,215
Total Claims
1,974
Beneficiaries
10
Codes Billed
2018-01
First Month
2021-08
Last Month

Provider Details

Authorized OfficialKOLAHI, JAVAD (SECRETARY)
NPI Enumeration Date01/07/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,470 $18K
2019 1,207 $20K
2020 314 $8K
2021 224 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 374 371 $14K
D0230 Intraoral - periapical each additional radiographic image 1,661 510 $6K
D1120 Prophylaxis - child 203 202 $6K
D2140 102 46 $6K
D0210 Intraoral - complete series of radiographic images 122 122 $5K
D0272 Bitewings - two radiographic images 460 457 $5K
D0150 Comprehensive oral evaluation - new or established patient 111 111 $5K
D2150 Silver amalgam - two surfaces, primary or permanent 53 26 $4K
D1110 Prophylaxis - adult 29 29 $2K
D1208 Topical application of fluoride, excluding varnish 100 100 $1K