Medicaid Provider Spending

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

SAHAWNEH DENTAL CORPORATION

NPI: 1093199127 · BURBANK, CA 91502 · Dentist · NPI assigned 07/18/2015

$78K
Total Medicaid Paid
2,779
Total Claims
2,025
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSAHAWNEH, SHOROQ (OWNER DOCTOR)
Parent OrganizationSAHAWNEH DENTAL CORPORATION
NPI Enumeration Date07/18/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 701 $13K
2019 898 $27K
2020 357 $9K
2021 317 $9K
2022 118 $4K
2023 121 $7K
2024 267 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 674 665 $41K
D0210 Intraoral - complete series of radiographic images 424 417 $19K
D0120 Periodic oral evaluation - established patient 104 99 $5K
D0230 Intraoral - periapical each additional radiographic image 1,091 374 $4K
D0274 Bitewings - four radiographic images 206 198 $4K
D1120 Prophylaxis - child 103 101 $3K
D1208 Topical application of fluoride, excluding varnish 109 106 $1K
D9430 13 12 $416.00
D1999 55 53 $0.00