Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

S SHAHNAZARIANS DDS A PROFESSIONAL CORP

NPI: 1043660004 · PASADENA, CA 91103 · Preferred Provider Organization · NPI assigned 06/20/2016

$29K
Total Medicaid Paid
1,227
Total Claims
705
Beneficiaries
9
Codes Billed
2019-08
First Month
2024-06
Last Month

Provider Details

Authorized OfficialSHAHNAZARIANS, SEVETLANA (OWNER/DENTIST)
NPI Enumeration Date06/20/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $413.00
2021 95 $1K
2022 442 $11K
2023 609 $15K
2024 68 $396.25

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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