Medicaid Provider Spending

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

AHMAD MERSAL DDS INC

NPI: 1952169633 · LA MIRADA, CA 90638 · Dental Clinic/Center · NPI assigned 03/07/2024

$13K
Total Medicaid Paid
386
Total Claims
384
Beneficiaries
7
Codes Billed
2024-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMERSAL, AHMAD (PRESIDENT)
NPI Enumeration Date03/07/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 386 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 96 96 $6K
D1110 Prophylaxis - adult 57 57 $4K
D0120 Periodic oral evaluation - established patient 18 18 $785.00
D1208 Topical application of fluoride, excluding varnish 39 39 $779.30
D0274 Bitewings - four radiographic images 61 60 $759.60
D0230 Intraoral - periapical each additional radiographic image 90 89 $438.60
D0220 Intraoral - periapical first radiographic image 25 25 $126.00