Medicaid Provider Spending

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

SOUDABEH SHARAFI DMD INC.

NPI: 1982081071 · ESCONDIDO, CA 92027 · Pediatric Dentist · NPI assigned 04/28/2015

$14K
Total Medicaid Paid
956
Total Claims
744
Beneficiaries
5
Codes Billed
2018-01
First Month
2019-03
Last Month

Provider Details

Authorized OfficialSHARAFI, SOUDABEH (OWNER)
NPI Enumeration Date04/28/2015

Related Entities

Other providers sharing the same authorized official: SHARAFI, SOUDABEH

ProviderCityStateTotal Paid
DEL MAR PEDIATRIC & ADOLESCENTS DENTAL GROUP SAN DIEGO CA $44K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 637 $10K
2019 319 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 168 168 $5K
D0120 Periodic oral evaluation - established patient 83 83 $3K
D0230 Intraoral - periapical each additional radiographic image 356 158 $2K
D1208 Topical application of fluoride, excluding varnish 172 172 $2K
D0220 Intraoral - periapical first radiographic image 177 163 $2K