Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN MARCOS › BABAK SHAHROKH DMD INC

BABAK SHAHROKH DMD INC

NPI: 1194381251 · SAN MARCOS, CA 92078 · General Practice Dentistry · NPI assigned 05/14/2019

$46K
Total Medicaid Paid
1,004
Total Claims
858
Beneficiaries
7
Codes Billed
2019-07
First Month
2023-07
Last Month

Provider Details

Authorized OfficialSHAHROKH, BABAK (OWNER)
NPI Enumeration Date05/14/2019

Related Entities

Other providers sharing the same authorized official: SHAHROKH, BABAK

ProviderCityStateTotal Paid
DENTAL PRACTICE OF BABAK SHAHROKH DMD INC SAN DIEGO CA $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $759.00
2020 504 $27K
2021 348 $16K
2022 112 $3K
2023 28 $258.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 287 287 $19K
D0210 Intraoral - complete series of radiographic images 221 221 $10K
D2391 Resin-based composite - one surface, posterior, primary or permanent 176 49 $10K
D1206 Topical application of fluoride varnish 253 250 $3K
D1110 Prophylaxis - adult 26 26 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 29 13 $2K
D9430 12 12 $384.00