Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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D4910

Billing code D4910

HHS publishes no description for this code; it is likely a state-specific local code.

Medicaid paid $91.44M on code D4910 from 2018 through 2024, to 3,338 providers — the #741 code in the file by dollars. 74% of it was billed in California.

28Total paid$91.44M
24GClaims1,370,106
Paid per claim line$66.74
33Providers billing it3,338
Box 32 · Location

Where D4910 is billed

  1. $67M
  2. $4.7M
  3. $3.3M
  4. $3.0M
  5. $2.1M
  6. $1.7M
  7. $1.6M
  8. $971K
  9. $698K
  10. $671K
  11. $635K
  12. $518K

The largest of 45 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.

Ranked

Top providers billing D4910

#ProviderLocationClaimsPaid on D4910
1 Lovinger, Kim, & Khzouz Dental Corporation Fullerton, CA 36,326 $2.91M
2 Fulbright Dental Group, PC Los Angeles, CA 30,669 $2.37M
3 Son Nguyen DDS, INC Westminster, CA 17,717 $1.36M
4 Wihd INC Valhalla, NY 5,754 $841K
5 Tam Ngo DDS, INC. Westminster, CA 10,030 $771K
6 Aldairi, Husam San Diego, CA 9,632 $741K
7 Tin, Justin San Francisco, CA 9,275 $713K
8 Sarah Luetke, PLLC Poulsbo, WA 7,976 $592K
9 Siderman, Yampolsky Dental Corporation Huntington Park, CA 7,060 $546K
10 Mulnomah County Portland, OR 9,926 $497K
11 Community Health Center of Snohomish County Everett, WA 7,560 $482K
12 Hubbard Family Dental Clinic LLC Greeley, CO 5,979 $446K
13 Arakelyan, Aram Pasadena, CA 5,853 $431K
14 Tan Nghiem DDS, INC Garden Grove, CA 5,500 $421K
15 Anchorage Neighborhood Health Center INC. Anchorage, AK 1,474 $417K
16 Mashreghi DMD Dental Corporation North Hollywood, CA 5,255 $403K
17 Sammy Yung DDS INC Rosemead, CA 4,785 $368K
18 Cozy Dental Aurora, CO 5,212 $364K
19 Advantage Care Diagnostic and Treatment Center ,INC Brookville, NY 5,081 $347K
20 Le, Lyan Long Beach, CA 4,191 $340K
21 Nguyen, Ha San Jose, CA 4,526 $338K
22 Long Island Select Healthcare, INC. Central Islip, NY 3,017 $335K
23 Pratik Shah DDS INC. Riverside, CA 4,341 $333K
24 Chuck Truc Le DDS INC Anaheim, CA 4,287 $329K
25 Shayan Bayat, DDS, INC Pinole, CA 4,831 $324K
26 E Kim Dental Corp Apple Valley, CA 4,197 $320K
27 Tin Dental Specialty Group a Professional Dental Corp San Leandro, CA 4,076 $312K
28 Mitra Mashreghi DMD Dental Corporation Los Angeles, CA 4,004 $312K
29 Sandra Vo DDS INC Westminster, CA 3,951 $304K
30 Kaiser Foundation Health Plan of the Northwest Portland, OR 1,385 $302K
31 Margaret a Paul DDS, INC Los Angeles, CA 3,911 $301K
32 Chuck Truc Trong Le Dental Corp Anaheim, CA 3,863 $297K
33 Ronald Cruz Abaro DDS INC. Huntington Park, CA 3,960 $293K
34 S&R Kniter Dental Corporation West Hollywood, CA 3,638 $279K
35 John Foroutan DDS INC Reseda, CA 3,586 $276K
36 Soroushian and Taqavi Dental Corporation Modesto, CA 3,639 $274K
37 Narges Menalagha, D.D.S., a Professional Dental Corporation Encino, CA 3,572 $272K
38 Lipkin, Artur Studio City, CA 3,009 $272K
39 Hamlet Karapetian DMD INC. Santa Maria, CA 3,515 $270K
40 Peter a Mcintyre DDS PC Colorado Springs, CO 2,409 $262K
41 DR. Jotsna's Dental Office Modesto, CA 3,497 $262K
42 Peak Vista Community Health Centers Colorado Springs, CO 2,575 $258K
43 Maia Montoya DDS INC Los Angeles, CA 3,306 $254K
44 Son Nguyen D.D.S., INC. San Gabriel, CA 3,276 $250K
45 Bao-Chau Le Nguyen, D.D.S., P.C. Garden Grove, CA 3,255 $250K
46 Sandra Parker DDS, INC. Orange, CA 3,241 $248K
47 Danh H. Khong, DMD INC. Westminster, CA 3,187 $245K
48 Senior Smiles Arvada, CO 3,264 $244K
49 Emil Zakhary DDS INC Victorville, CA 3,199 $241K
50 Fun at the Dentist Professional LLC Grand Junction, CO 3,533 $238K
51 Aghel, Soheila West Hollywood, CA 2,946 $238K
52 State University of Iowa Iowa City, IA 3,282 $238K
53 Mahooty, Mahasty Rancho Santa Margarita, CA 2,842 $237K
54 Ruzan Sarkissian Dds.Inc Sherman Oaks, CA 3,002 $235K
55 Great Expressions Dental Centers P C Bloomfield Hills, MI 4,153 $234K
56 Becker, Jake Burns, OR 1,330 $227K
57 Thanh Hang Le,d.D.S.Inc. Garden Grove, CA 2,957 $225K
58 Ghazar M. Ghazaryan D.D.S.,Inc Van Nuys, CA 2,933 $224K
59 Farhad Mazi, DDS, a Professional Corporation Apple Valley, CA 2,888 $221K
60 Farid Sehati DDS INC. Camarillo, CA 2,895 $220K
61 Yejin Kim DDS Corp Los Angeles, CA 2,848 $219K
62 Mehdizadeh, Alborz San Francisco, CA 2,833 $215K
63 Tae HJ Barto DDS Des Moines, IA 3,542 $214K
64 Simpson, Mariaelena Auburn, CA 2,690 $214K
65 Advocates for a Healthy Community, INC. Springfield, MO 1,904 $209K
66 Save Dental, Practice of Roy D. Soriano, D.D.S., INC Victorville, CA 2,681 $205K
67 Nguyen, Trang Rosemead, CA 2,659 $204K
68 Cumberland Periodontal Associates, P.A. Vineland, NJ 2,791 $204K
69 Sarkis a Damargi DDS, INC. Glendale, CA 2,619 $202K
70 Anderson, Julie Los Angeles, CA 2,280 $200K
71 Elsa Wendy Hernandez, DDS, INC Los Angeles, CA 2,610 $200K
72 P. Pablo Gonzalez, DDS, a Prof Corp Moreno Valley, CA 2,598 $200K
73 Jouriy Grkikian DDS INC Sherman Oaks, CA 2,580 $198K
74 Hingu, Monal Fullerton, CA 2,403 $197K
75 Mylan Luu, DDS, INC Garden Grove, CA 2,548 $196K
76 Alexander Kaplan DDS Dental Corp Roseville, CA 2,542 $196K
77 Missoula General Dentistry, P.C. Missoula, MT 2,972 $191K
78 Mina Abdullah DDS INC El Cajon, CA 2,513 $191K
79 S. Jang DDS Incorporated Elk Grove, CA 1,465 $191K
80 Reesor Dental Group, PC San Diego, CA 2,486 $190K
81 Gustavo A. Assatourians D.D.S. INC. Port Hueneme, CA 2,496 $189K
82 Rowan, Susan Chicago, IL 3,118 $185K
83 Ramin Ravaei DMD INC Los Angeles, CA 2,381 $182K
84 Vorobchevici, Iulia Clovis, CA 2,380 $181K
85 University of Southern California Los Angeles, CA 2,439 $180K
86 Sheldon Xiaochen Lu DMD INC Tustin, CA 2,344 $179K
87 Deepak K Sachdev DDS INC. Freedom, CA 2,328 $177K
88 Alenoush Baghdasaryan,d.D.S., a Professional Dental Corporation Glendale, CA 2,310 $176K
89 Kamran Ghoreyshi DDS INC Calexico, CA 2,291 $174K
90 Project Worthmore Aurora, CO 2,474 $173K
91 I Dental Family Dentistry Juan C Huaman Dds,corp Madera, CA 2,299 $173K
92 Ibrahim, Hashem and Salem Dental Corporation Hemet, CA 2,219 $169K
93 Injoo Han,d.D.S.,Inc. Placerville, CA 2,200 $168K
94 Yasmeen, Farah Sacramento, CA 1,306 $167K
95 Farrell-Rodriguez, Kimberly Mission Viejo, CA 2,094 $166K
96 Ivan Medina-Martinez DDS, INC. Bakersfield, CA 2,138 $163K
97 Fun Dental 4 Kids 4 Los Angeles, CA 2,113 $162K
98 Iowa Dental Clinic, PC Des Moines, IA 2,610 $161K
99 H. Duong DDS INC. Westminster, CA 2,059 $158K
100 Dat Quoc Nguyen D.D.S., INC. Rosemead, CA 2,045 $157K