Medicaid Provider Spending

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

BEHZAD SHIRAZI ARDESTANI INC A PROFESSIONAL DENTAL CORPORATION

NPI: 1003082074 · BURBANK, CA 91501 · Dental Clinic/Center · NPI assigned 04/30/2008

$84K
Total Medicaid Paid
4,792
Total Claims
3,646
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialSHIRAZI ARDESTANI, BEHZAD (OWNER)
NPI Enumeration Date04/30/2008

Related Entities

Other providers sharing the same authorized official: SHIRAZI ARDESTANI, BEHZAD

ProviderCityStateTotal Paid
BEHZAD SHIRAZI INC, A PROFESSIONAL DENTAL CORPORATION STUDIO CITY CA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,750 $18K
2019 1,105 $16K
2020 1,125 $34K
2021 52 $585.35
2022 111 $4K
2023 416 $9K
2024 233 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2394 275 55 $17K
D0150 Comprehensive oral evaluation - new or established patient 295 278 $12K
D0120 Periodic oral evaluation - established patient 324 308 $8K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 136 27 $7K
D0210 Intraoral - complete series of radiographic images 248 236 $6K
D2954 44 25 $5K
D1120 Prophylaxis - child 178 171 $4K
D2335 73 14 $4K
D0350 1,004 939 $4K
D0230 Intraoral - periapical each additional radiographic image 1,145 600 $4K
D1206 Topical application of fluoride varnish 240 231 $3K
D0274 Bitewings - four radiographic images 284 264 $3K
D1110 Prophylaxis - adult 25 25 $2K
D4910 26 26 $2K
D9430 54 51 $2K
D0220 Intraoral - periapical first radiographic image 294 271 $1K
D1208 Topical application of fluoride, excluding varnish 32 31 $453.85
D1999 115 94 $296.00