Medicaid Provider Spending

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

NADER D. GHIASSI DDS INC

NPI: 1871839704 · SAN JUAN CAPISTRANO, CA 92675 · Dentist · NPI assigned 12/20/2012

$75K
Total Medicaid Paid
3,120
Total Claims
2,971
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGHIASSI, NADER (PRESIDENT)
NPI Enumeration Date12/20/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,035 $22K
2019 772 $19K
2020 410 $9K
2021 492 $10K
2022 259 $9K
2023 116 $4K
2024 36 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 776 773 $34K
D1120 Prophylaxis - child 904 902 $29K
D1206 Topical application of fluoride varnish 762 762 $7K
D0274 Bitewings - four radiographic images 149 149 $3K
D0230 Intraoral - periapical each additional radiographic image 294 150 $1K
D1208 Topical application of fluoride, excluding varnish 28 28 $234.00
D1999 207 207 $0.00