Medicaid Provider Spending

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

JAFAR ASSAF DDS INC

NPI: 1982062469 · GLENDORA, CA 91740 · Point of Service · NPI assigned 01/29/2016

$8K
Total Medicaid Paid
668
Total Claims
408
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-10
Last Month

Provider Details

Authorized OfficialASSAF, JAFAR (DENTIST)
NPI Enumeration Date01/29/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 668 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 75 71 $3K
D1120 Prophylaxis - child 51 49 $1K
D0230 Intraoral - periapical each additional radiographic image 375 127 $1K
D0120 Periodic oral evaluation - established patient 55 53 $1K
D0272 Bitewings - two radiographic images 82 78 $737.50
D0274 Bitewings - four radiographic images 30 30 $583.20