Medicaid Provider Spending

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

MARYAM HARIRI

NPI: 1902499551 · SARATOGA SPRINGS, NY 12866 · Dental Clinic/Center · NPI assigned 02/15/2021

$68K
Total Medicaid Paid
2,444
Total Claims
2,444
Beneficiaries
7
Codes Billed
2021-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARIRI, MARYAM (PRESIDENT)
NPI Enumeration Date02/15/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 254 $7K
2022 906 $23K
2023 783 $24K
2024 501 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 813 813 $25K
D0210 Intraoral - complete series of radiographic images 333 333 $16K
D0230 Intraoral - periapical each additional radiographic image 534 534 $16K
D0272 Bitewings - two radiographic images 465 465 $7K
D1110 Prophylaxis - adult 71 71 $3K
D1320 170 170 $2K
D0220 Intraoral - periapical first radiographic image 58 58 $763.28