Medicaid Provider Spending

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

B. OMRANI DDS INC

NPI: 1992370704 · SAN JUAN CAPISTRANO, CA 92675 · General Practice Dentistry · NPI assigned 05/24/2021

$27K
Total Medicaid Paid
700
Total Claims
543
Beneficiaries
7
Codes Billed
2023-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialOMRANI, BEN (CEO)
NPI Enumeration Date05/24/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 100 $6K
2024 600 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 240 240 $16K
D0210 Intraoral - complete series of radiographic images 127 127 $6K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 21 13 $1K
D1110 Prophylaxis - adult 14 14 $1K
D0350 117 39 $1K
D1206 Topical application of fluoride varnish 38 38 $623.50
D0230 Intraoral - periapical each additional radiographic image 143 72 $575.10