Medicaid Provider Spending

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

S J SHAHANGIAN DDS MS INC

NPI: 1235750811 · ALPINE, CA 91901 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 05/05/2020

$55K
Total Medicaid Paid
1,708
Total Claims
1,468
Beneficiaries
11
Codes Billed
2022-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHAHANGIAN, JOSSEIN (OWNER)
NPI Enumeration Date05/05/2020

Related Entities

Other providers sharing the same authorized official: SHAHANGIAN, JOSSEIN

ProviderCityStateTotal Paid
S J SHAHANGIAN DDS MS INC SAN DIEGO CA $22K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 161 $6K
2023 540 $19K
2024 1,007 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 438 438 $23K
D0120 Periodic oral evaluation - established patient 196 196 $12K
D1208 Topical application of fluoride, excluding varnish 416 416 $8K
D0150 Comprehensive oral evaluation - new or established patient 72 72 $4K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 61 60 $2K
D0240 151 76 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 22 13 $1K
D0230 Intraoral - periapical each additional radiographic image 233 78 $943.65
D0272 Bitewings - two radiographic images 61 61 $720.00
D0220 Intraoral - periapical first radiographic image 29 29 $348.00
D1330 29 29 $0.00