Medicaid Provider Spending

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

EHAB SAMAAN DDS INC

NPI: 1891288890 · TORRANCE, CA 90503 · General Practice Dentistry · NPI assigned 06/13/2018

$79K
Total Medicaid Paid
3,137
Total Claims
2,342
Beneficiaries
12
Codes Billed
2019-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSAMAAN, EHAB (OWNER)
Parent OrganizationEHAB SAMAAN DDS,INC
NPI Enumeration Date06/13/2018

Related Entities

Other providers sharing the same authorized official: SAMAAN, EHAB

ProviderCityStateTotal Paid
EHABSAMAAN DDS INC CORONA CA $3.04M
EHAB SAMAAN DDS,INC LAKEWOOD CA $447K
EHAB SAMAAN DDS, INC LONG BEACH CA $11K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 38 $2K
2020 228 $9K
2021 92 $4K
2022 667 $17K
2023 1,047 $20K
2024 1,065 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 341 341 $23K
D0120 Periodic oral evaluation - established patient 155 153 $12K
D1110 Prophylaxis - adult 117 115 $10K
D0210 Intraoral - complete series of radiographic images 201 201 $9K
D9430 236 217 $7K
D1208 Topical application of fluoride, excluding varnish 501 497 $7K
D0230 Intraoral - periapical each additional radiographic image 1,353 595 $6K
D0220 Intraoral - periapical first radiographic image 127 117 $2K
D1120 Prophylaxis - child 24 24 $1K
D0274 Bitewings - four radiographic images 57 57 $1K
D4910 13 13 $1K
D1206 Topical application of fluoride varnish 12 12 $192.00