Medicaid Provider Spending

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

POUYA PARSA DDS INC

NPI: 1912769258 · SUN VALLEY, CA 91352 · General Practice Dentistry · NPI assigned 01/23/2024

$12K
Total Medicaid Paid
320
Total Claims
283
Beneficiaries
5
Codes Billed
2024-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPARSA, POUYA (OWNER)
NPI Enumeration Date01/23/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 320 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 113 113 $7K
D0210 Intraoral - complete series of radiographic images 46 46 $2K
D0330 Panoramic radiographic image 58 58 $2K
D0274 Bitewings - four radiographic images 30 30 $648.00
D0230 Intraoral - periapical each additional radiographic image 73 36 $295.65