Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › WHITTIER › NIKJOO DENTAL INC

NIKJOO DENTAL INC

NPI: 1023490265 · WHITTIER, CA 90606 · Dental Clinic/Center · NPI assigned 06/24/2015

$10K
Total Medicaid Paid
295
Total Claims
259
Beneficiaries
6
Codes Billed
2018-01
First Month
2022-08
Last Month

Provider Details

Authorized OfficialNIKJOO, EBI (CEO)
NPI Enumeration Date06/24/2015

Related Entities

Other providers sharing the same authorized official: NIKJOO, EBI

ProviderCityStateTotal Paid
EBI NIKJOO DENTAL CORP LONG BEACH CA $79K
EBI NIKJOO DDS INC LOS ANGELES CA $68K
NIKJOO DENTAL INC LA PUENTE CA $22K
E NIKJOO DDS INC PALMDALE CA $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 269 $9K
2022 26 $736.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 129 125 $6K
D0210 Intraoral - complete series of radiographic images 53 53 $2K
D1120 Prophylaxis - child 27 25 $837.50
D1208 Topical application of fluoride, excluding varnish 28 26 $243.00
D0230 Intraoral - periapical each additional radiographic image 43 18 $108.00
D0220 Intraoral - periapical first radiographic image 15 12 $80.00