Medicaid Provider Spending

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

FARSHAD MOFTAKHAR DDS A DENTAL CORPORATION

NPI: 1982745733 · BEVERLY HILLS, CA 90211 · Dentist · NPI assigned 02/12/2007

$31K
Total Medicaid Paid
593
Total Claims
572
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMOFTAKHAR, FARSHAD (OWNER)
NPI Enumeration Date02/12/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 321 $15K
2019 40 $2K
2020 27 $2K
2021 93 $6K
2022 54 $3K
2023 29 $2K
2024 29 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 218 217 $13K
D0210 Intraoral - complete series of radiographic images 186 186 $9K
D1110 Prophylaxis - adult 92 92 $6K
D0120 Periodic oral evaluation - established patient 53 52 $3K
D4910 13 13 $1K
D0230 Intraoral - periapical each additional radiographic image 31 12 $91.50