Medicaid Provider Spending

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

ABBASSI, SUMMY

NPI: 1952854176 · TARZANA, CA 91356 · Dentist · NPI assigned 07/25/2016

$22K
Total Medicaid Paid
509
Total Claims
506
Beneficiaries
8
Codes Billed
2022-06
First Month
2024-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 169 $7K
2023 225 $10K
2024 115 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 126 126 $11K
D1208 Topical application of fluoride, excluding varnish 214 213 $3K
D0120 Periodic oral evaluation - established patient 41 40 $3K
D0150 Comprehensive oral evaluation - new or established patient 27 27 $2K
D0210 Intraoral - complete series of radiographic images 26 26 $1K
D0230 Intraoral - periapical each additional radiographic image 49 49 $891.00
D9430 13 12 $416.00
D0274 Bitewings - four radiographic images 13 13 $280.80