IRAJ BORNA D.D.S INC
NPI: 1023216744
· RESEDA, CA 91335
· General Practice Dentistry
· NPI assigned 07/03/2007
$299K
Total Medicaid Paid
Provider Details
| Authorized Official | BORNA, IRAJ (PRESIDENT) |
| NPI Enumeration Date | 07/03/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,951 |
$92K |
| 2019 |
1,667 |
$66K |
| 2020 |
656 |
$25K |
| 2021 |
990 |
$46K |
| 2022 |
630 |
$30K |
| 2023 |
656 |
$25K |
| 2024 |
415 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9110 |
|
1,882 |
1,711 |
$118K |
| D1110 |
Prophylaxis - adult |
640 |
639 |
$49K |
| D5750 |
|
180 |
180 |
$35K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
525 |
524 |
$31K |
| D0220 |
Intraoral - periapical first radiographic image |
2,034 |
1,763 |
$24K |
| D5751 |
|
112 |
112 |
$22K |
| D0120 |
Periodic oral evaluation - established patient |
252 |
252 |
$14K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,326 |
357 |
$6K |
| D0272 |
Bitewings - two radiographic images |
14 |
14 |
$168.00 |