Medicaid Provider Spending

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

SUSANNA GUKASOV DDS PROFESSIONAL CORPORATION

NPI: 1285403436 · NORTHRIDGE, CA 91324 · Dental Clinic/Center · NPI assigned 12/29/2023

$2K
Total Medicaid Paid
31
Total Claims
31
Beneficiaries
2
Codes Billed
2024-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGUKASOV, SUSANNA (DENTIST)
NPI Enumeration Date12/29/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 31 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 18 18 $1K
D0210 Intraoral - complete series of radiographic images 13 13 $624.00