SOHRAB MOSHIRI, DDS INC
NPI: 1003255852
· WOODLAND HILLS, CA 91364
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 06/14/2013
$483K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,002 |
$151K |
| 2019 |
842 |
$52K |
| 2020 |
812 |
$52K |
| 2021 |
1,400 |
$99K |
| 2022 |
904 |
$50K |
| 2023 |
860 |
$49K |
| 2024 |
636 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,422 |
2,414 |
$151K |
| D0330 |
Panoramic radiographic image |
2,391 |
2,382 |
$70K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
242 |
138 |
$52K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
365 |
148 |
$43K |
| D9220 |
|
217 |
217 |
$38K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
323 |
323 |
$30K |
| D7240 |
Removal of impacted tooth - completely bony |
118 |
55 |
$27K |
| D9610 |
|
603 |
341 |
$23K |
| D9221 |
|
181 |
175 |
$18K |
| D9222 |
|
124 |
123 |
$15K |
| 70355 |
|
428 |
428 |
$8K |
| D7230 |
|
42 |
24 |
$8K |