Medicaid Provider Spending

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

NPI: 1952872285 · ASHBURN, VA 20147 · Dental Clinic/Center · NPI assigned 12/16/2018

$438.34
Total Medicaid Paid
53
Total Claims
51
Beneficiaries
3
Codes Billed
2021-11
First Month
2024-04
Last Month

Provider Details

Authorized OfficialASHOURIPOUR, DARIUOSH (PRESIDENT)
NPI Enumeration Date12/16/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 14 $438.34
2023 15 $0.00
2024 24 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 26 24 $438.34
D9920 12 12 $0.00
D1110 Prophylaxis - adult 15 15 $0.00