Medicaid Provider Spending

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

GHAZALEH PEIRAVANI DDS

NPI: 1972378297 · BAYTOWN, TX 77520 · Pediatric Dentist · NPI assigned 11/16/2023

$15K
Total Medicaid Paid
770
Total Claims
394
Beneficiaries
6
Codes Billed
2024-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPEIRAVANI, GHAZALEH (OWNER / DENTIST)
NPI Enumeration Date11/16/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 770 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 41 13 $6K
D0230 Intraoral - periapical each additional radiographic image 340 86 $3K
D0150 Comprehensive oral evaluation - new or established patient 96 88 $3K
D1351 Sealant - per tooth 82 14 $2K
D0220 Intraoral - periapical first radiographic image 107 91 $1K
D0603 104 102 $0.00