Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › SOMERVILLE › RAMESH IZEDIAN DMD, SHAHRAM MOGHADDAM DMD, PAUL DOBRIN DMD, PC

RAMESH IZEDIAN DMD, SHAHRAM MOGHADDAM DMD, PAUL DOBRIN DMD, PC

NPI: 1922163567 · SOMERVILLE, MA 02144 · General Practice Dentistry · NPI assigned 12/26/2006

$16K
Total Medicaid Paid
512
Total Claims
462
Beneficiaries
4
Codes Billed
2018-01
First Month
2023-01
Last Month

Provider Details

Authorized OfficialDOBRIN, PAUL (DENTIST OWNER)
NPI Enumeration Date12/26/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 101 $4K
2019 123 $4K
2020 98 $3K
2021 125 $3K
2022 53 $1K
2023 12 $372.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 251 226 $6K
D1110 Prophylaxis - adult 101 87 $5K
D1120 Prophylaxis - child 72 66 $3K
D1206 Topical application of fluoride varnish 88 83 $2K