Medicaid Provider Spending

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

MIRMARASHI&MAKHMALBAFDENTAL CORPORATION

NPI: 1902296395 · GLENDALE, CA 91205 · Prosthodontist · NPI assigned 01/23/2015

$26K
Total Medicaid Paid
886
Total Claims
850
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMAKHMALBAF, ALI (OWNER)
NPI Enumeration Date01/23/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 154 $1K
2019 41 $330.00
2020 33 $10.00
2021 62 $859.00
2022 63 $2K
2023 234 $9K
2024 299 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 383 370 $17K
D0210 Intraoral - complete series of radiographic images 312 301 $7K
D0120 Periodic oral evaluation - established patient 40 38 $773.00
D0220 Intraoral - periapical first radiographic image 40 40 $226.90
D1206 Topical application of fluoride varnish 31 29 $193.00
D1120 Prophylaxis - child 17 16 $90.00
D1999 63 56 $40.00