Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › TEMPE › A & N SUNVALLEY DENTAL CENTER, INC.

A & N SUNVALLEY DENTAL CENTER, INC.

NPI: 1225274913 · TEMPE, AZ 85281 · Exclusive Provider Organization · NPI assigned 12/30/2008

$345.90
Total Medicaid Paid
85
Total Claims
73
Beneficiaries
3
Codes Billed
2018-05
First Month
2019-10
Last Month

Provider Details

Authorized OfficialKHESHTCHIN, MANDANA (DENTIST)
NPI Enumeration Date12/30/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 37 $169.67
2019 48 $176.23

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0220 Intraoral - periapical first radiographic image 57 49 $196.72
D1208 Topical application of fluoride, excluding varnish 12 12 $91.55
D0230 Intraoral - periapical each additional radiographic image 16 12 $57.63