Medicaid Provider Spending

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

HIGHLAND DENTAL GROUP

NPI: 1295359370 · LANCASTER, CA 93534 · Dentist · NPI assigned 06/03/2020

$7K
Total Medicaid Paid
212
Total Claims
126
Beneficiaries
7
Codes Billed
2020-12
First Month
2020-12
Last Month

Provider Details

Authorized OfficialKOHANOFF, SHARONA (DENTIST)
NPI Enumeration Date06/03/2020

Related Entities

Other providers sharing the same authorized official: KOHANOFF, SHARONA

ProviderCityStateTotal Paid
LANCASTER ADVANCED DENTAL INC. LANCASTER CA $1.18M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 212 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2150 Silver amalgam - two surfaces, primary or permanent 33 17 $2K
D0150 Comprehensive oral evaluation - new or established patient 29 29 $2K
D2140 19 14 $1K
D0210 Intraoral - complete series of radiographic images 19 19 $912.00
D0350 39 17 $355.20
D0230 Intraoral - periapical each additional radiographic image 57 14 $251.10
D1208 Topical application of fluoride, excluding varnish 16 16 $175.00