Medicaid Provider Spending

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

AZMOODEH, AFSHIN

NPI: 1871699488 · RICHARDSON, TX 75080 · General Practice Dentistry · NPI assigned 09/15/2006

$5K
Total Medicaid Paid
265
Total Claims
258
Beneficiaries
8
Codes Billed
2020-10
First Month
2023-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 60 $1K
2021 78 $1K
2023 127 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 109 108 $1K
D0150 Comprehensive oral evaluation - new or established patient 46 45 $1K
D0120 Periodic oral evaluation - established patient 36 36 $980.90
D1110 Prophylaxis - adult 14 14 $768.32
D1120 Prophylaxis - child 15 15 $404.25
D0274 Bitewings - four radiographic images 12 12 $242.27
D0603 17 12 $0.00
D0602 16 16 $0.00