Medicaid Provider Spending

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

NICOLE MAHANIAN, D.D.S., INC.

NPI: 1063025815 · SAN FERNANDO, CA 91340 · Dental Clinic/Center · NPI assigned 08/30/2020

$5K
Total Medicaid Paid
157
Total Claims
153
Beneficiaries
3
Codes Billed
2023-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMAHANIAN, NICOLE (PRESIDENT)
NPI Enumeration Date08/30/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 36 $1K
2024 121 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 16 12 $2K
D1208 Topical application of fluoride, excluding varnish 117 117 $2K
D0150 Comprehensive oral evaluation - new or established patient 24 24 $2K