Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
CA
›
SAN FERNANDO
› DASTMALCHIAN, SHABNAM
DASTMALCHIAN, SHABNAM
NPI: 1023221850 · SAN FERNANDO, CA 91340 ·
Dentist
· NPI assigned 05/08/2007
$124K
Total Medicaid Paid
4,523
Total Claims
4,037
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
993
$22K
2019
558
$10K
2020
464
$14K
2021
530
$17K
2022
624
$20K
2023
705
$19K
2024
649
$21K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
562
561
$30K
D0150
373
372
$21K
D0210
424
422
$19K
D1110
230
229
$17K
D1208
1,343
1,341
$16K
D1120
202
202
$7K
D0274
329
328
$6K
D0230
1,006
558
$4K
D4341
42
12
$3K
D4910
12
12
$924.00