DR. SHAGRAMANOVA DENTAL GROUP, INC
NPI: 1265905434
· SOUTH GATE, CA 90280
· 261QD0000X
$6.71M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
19,089 |
$631K |
| 2020 |
27,808 |
$645K |
| 2021 |
46,319 |
$1.15M |
| 2022 |
54,537 |
$1.48M |
| 2023 |
51,723 |
$1.34M |
| 2024 |
55,454 |
$1.47M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
23,989 |
23,876 |
$1.05M |
| D0120 |
|
15,696 |
15,616 |
$1.03M |
| D1310 |
|
11,196 |
11,123 |
$497K |
| D1351 |
|
15,457 |
5,004 |
$491K |
| D2150 |
|
6,966 |
3,327 |
$466K |
| D0150 |
|
5,784 |
5,768 |
$389K |
| D0230 |
|
86,748 |
18,361 |
$383K |
| D1206 |
|
23,057 |
22,951 |
$377K |
| D7140 |
|
4,815 |
2,714 |
$275K |
| D2140 |
|
4,722 |
2,545 |
$257K |
| D9993 |
|
4,138 |
4,138 |
$244K |
| D9230 |
|
5,459 |
5,297 |
$217K |
| D0220 |
|
14,046 |
13,900 |
$168K |
| D2930 |
|
1,405 |
698 |
$167K |
| D0603 |
|
10,725 |
10,654 |
$156K |
| D0145 |
|
2,068 |
2,059 |
$137K |
| D3220 |
|
1,116 |
540 |
$110K |
| D0350 |
|
9,106 |
4,402 |
$100K |
| D0272 |
|
5,817 |
5,802 |
$70K |
| D0210 |
|
657 |
656 |
$31K |
| D2330 |
|
311 |
171 |
$23K |
| D2160 |
|
263 |
161 |
$21K |
| D1208 |
|
739 |
735 |
$14K |
| D2391 |
|
218 |
111 |
$12K |
| D2392 |
|
118 |
72 |
$8K |
| D3330 |
|
17 |
13 |
$8K |
| D9430 |
|
119 |
115 |
$4K |
| D1510 |
|
19 |
16 |
$2K |
| D0330 |
|
50 |
50 |
$1K |
| D0601 |
|
75 |
75 |
$1K |
| D0602 |
|
34 |
34 |
$495.00 |