MOZAYENI-AZAR, MANDANA
NPI: 1912970724
· NEWPORT COAST, CA 92657
· Dentist
· NPI assigned 02/10/2006
$438K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
185 |
$33K |
| 2019 |
37 |
$5K |
| 2020 |
80 |
$3K |
| 2021 |
913 |
$47K |
| 2022 |
1,333 |
$102K |
| 2023 |
791 |
$63K |
| 2024 |
2,347 |
$186K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
911 |
866 |
$247K |
| D0340 |
|
833 |
782 |
$63K |
| D0330 |
Panoramic radiographic image |
710 |
662 |
$38K |
| D0140 |
Limited oral evaluation - problem focused |
830 |
747 |
$32K |
| D0470 |
|
842 |
793 |
$23K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
711 |
664 |
$22K |
| D0350 |
|
849 |
799 |
$13K |