Medicaid Provider Spending

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

MARYAM WAHEED DENTAL GROUP CORP

NPI: 1932676699 · LAKE FOREST, CA 92630 · General Practice Dentistry · NPI assigned 10/30/2018

$86K
Total Medicaid Paid
3,175
Total Claims
1,991
Beneficiaries
12
Codes Billed
2019-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWAHEED, MARYAM (PRESIDENT)
NPI Enumeration Date10/30/2018

Related Entities

Other providers sharing the same authorized official: WAHEED, MARYAM

ProviderCityStateTotal Paid
ARDALAN DENTAL GROUP CORP ANAHEIM CA $76K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,028 $41K
2020 534 $20K
2021 165 $5K
2022 289 $6K
2023 729 $10K
2024 430 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 465 464 $30K
D0210 Intraoral - complete series of radiographic images 379 379 $17K
D9430 412 334 $13K
D0350 1,264 311 $12K
D0330 Panoramic radiographic image 144 139 $4K
D1120 Prophylaxis - child 108 107 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 42 20 $3K
D1351 Sealant - per tooth 105 27 $2K
D1206 Topical application of fluoride varnish 89 87 $854.50
D0274 Bitewings - four radiographic images 40 40 $777.60
D0230 Intraoral - periapical each additional radiographic image 114 70 $514.35
D1208 Topical application of fluoride, excluding varnish 13 13 $175.00