Medicaid Provider Spending

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

SARA TAJZIEHCHI ,DDS , A PROFESSIONAL CORPORATION

NPI: 1881277408 · CALABASAS, CA 91302 · Dental Clinic/Center · NPI assigned 05/02/2021

$83K
Total Medicaid Paid
2,253
Total Claims
1,237
Beneficiaries
14
Codes Billed
2023-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTAJZIEHCHI, SARA (DENTIST)
NPI Enumeration Date05/02/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 514 $20K
2024 1,739 $63K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9430 1,473 760 $47K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 202 71 $16K
D0150 Comprehensive oral evaluation - new or established patient 53 53 $3K
D4341 46 12 $3K
D2335 26 15 $3K
D1110 Prophylaxis - adult 29 29 $2K
D4910 29 29 $2K
D0210 Intraoral - complete series of radiographic images 39 39 $2K
D0350 142 49 $1K
D0220 Intraoral - periapical first radiographic image 106 87 $1K
D1320 42 42 $712.50
D1206 Topical application of fluoride varnish 26 26 $447.50
D1208 Topical application of fluoride, excluding varnish 13 13 $191.00
D0230 Intraoral - periapical each additional radiographic image 27 12 $109.35