Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › VISTA › TRI-CITY DENTAL EXCELLENCE

TRI-CITY DENTAL EXCELLENCE

NPI: 1871966390 · VISTA, CA 92081 · Dentist · NPI assigned 11/05/2015

$3K
Total Medicaid Paid
51
Total Claims
51
Beneficiaries
2
Codes Billed
2024-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRASTEGAR-PANAH, ARASH (PRESIDENT)
NPI Enumeration Date11/05/2015

Related Entities

Other providers sharing the same authorized official: RASTEGAR-PANAH, ARASH

ProviderCityStateTotal Paid
REDONDO BEACH DENTAL ARTS REDONDO BEACH CA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 51 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 25 25 $2K
D0210 Intraoral - complete series of radiographic images 26 26 $1K