S SHAHNAZARIANS DDS A PROFESSIONAL CORP
NPI: 1043660004
· PASADENA, CA 91103
· Preferred Provider Organization
· NPI assigned 06/20/2016
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
13 |
$413.00 |
| 2021 |
95 |
$1K |
| 2022 |
442 |
$11K |
| 2023 |
609 |
$15K |
| 2024 |
68 |
$396.25 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D4910 |
|
147 |
145 |
$14K |
| D0220 |
Intraoral - periapical first radiographic image |
262 |
220 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
41 |
41 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
636 |
164 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
40 |
39 |
$2K |
| D9430 |
|
34 |
29 |
$1K |
| D1206 |
Topical application of fluoride varnish |
41 |
41 |
$973.50 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$772.50 |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$624.00 |