Clinic
DR. Shagramanova Dental Group, INC
DR. Shagramanova Dental Group, INC was paid $6.71M by Medicaid between May 2019 and Dec 2024, across 31 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoDR. SHAGRAMANOVA DENTAL GROUP, INC
SOUTH GATE, CA 90280
SOUTH GATE, CA 90280
33aNPI1265905434assigned 01/09/2019
33bProvider typeDental Clinic/Center
28Total paid$6.71M
24GClaims254,930
24DCodes billed31
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#45 of 1,135
Median peer was paid$200K
This provider vs. median34×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 19,089 | $631K | |
| 2020 | 27,808 | $645K | |
| 2021 | 46,319 | $1.15M | |
| 2022 | 54,537 | $1.48M | |
| 2023 | 51,723 | $1.34M | |
| 2024incomplete | 55,454 | $1.47M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 23,989 | 23,876 | $1.05M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 15,696 | 15,616 | $1.03M |
| D1310 | 7.4% | 11,196 | 11,123 | $497K | |
| D1351 | Sealant - per tooth | 7.3% | 15,457 | 5,004 | $491K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.9% | 6,966 | 3,327 | $466K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.8% | 5,784 | 5,768 | $389K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.7% | 86,748 | 18,361 | $383K |
| D1206 | Topical application of fluoride varnish | 5.6% | 23,057 | 22,951 | $377K |
| D7140 | Extraction, erupted tooth or exposed root | 4.1% | 4,815 | 2,714 | $275K |
| D2140 | 3.8% | 4,722 | 2,545 | $257K | |
| D9993 | 3.6% | 4,138 | 4,138 | $244K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.2% | 5,459 | 5,297 | $217K |
19 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 14,046 | $168K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.5% | 1,405 | $167K |
| D0603 | 2.3% | 10,725 | $156K | |
| D0145 | Oral evaluation for a patient under three years of age | 2.0% | 2,068 | $137K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.6% | 1,116 | $110K |
| D0350 | 1.5% | 9,106 | $100K | |
| D0272 | Bitewings - two radiographic images | 1.0% | 5,817 | $70K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 657 | $31K |
| D2330 | <1% | 311 | $23K | |
| D2160 | <1% | 263 | $21K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 739 | $14K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 218 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 118 | $8K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 17 | $8K |
| D9430 | <1% | 119 | $4K | |
| D1510 | <1% | 19 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 50 | $1K |
| D0601 | <1% | 75 | $1K | |
| D0602 | <1% | 34 | $495.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSHAGRAMANOVA, NATALYA (CEO/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| DR. Shagramanova and DR. Aslani Dental Corporation | Panorama City, CA | $1.33M |
| DR. Natalya Shagramanova Dental Corporation | Santa Fe Springs, CA | $616K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.