KHORSAND DMD INC
NPI: 1245243229
· EL CENTRO, CA 92243
· Dentist
· NPI assigned 08/14/2006
$695K
Total Medicaid Paid
Provider Details
| Authorized Official | KHORSAND, ARASH (OWNER DENTIST) |
| NPI Enumeration Date | 08/14/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,227 |
$89K |
| 2019 |
1,647 |
$133K |
| 2020 |
1,354 |
$96K |
| 2021 |
1,172 |
$80K |
| 2022 |
747 |
$63K |
| 2023 |
1,418 |
$131K |
| 2024 |
1,078 |
$103K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
3,983 |
1,708 |
$464K |
| D7230 |
|
559 |
249 |
$105K |
| D0330 |
Panoramic radiographic image |
2,413 |
2,403 |
$71K |
| D9430 |
|
811 |
808 |
$26K |
| D7240 |
Removal of impacted tooth - completely bony |
56 |
27 |
$13K |
| D7140 |
Extraction, erupted tooth or exposed root |
88 |
40 |
$5K |
| D7220 |
|
29 |
16 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
278 |
278 |
$3K |
| D9243 |
|
119 |
55 |
$3K |
| D9239 |
|
55 |
55 |
$944.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
82 |
41 |
$348.30 |
| D1999 |
|
170 |
170 |
$0.00 |