Medicaid Provider Spending

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

SHAHRAM NOURI DENTAL CORP.

NPI: 1356587703 · NORTHRIDGE, CA 91324 · Dentist · NPI assigned 01/06/2009

$61K
Total Medicaid Paid
927
Total Claims
573
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNOURI, SHAHRAM (PRESIDENT)
NPI Enumeration Date01/06/2009

Related Entities

Other providers sharing the same authorized official: NOURI, SHAHRAM

ProviderCityStateTotal Paid
SHAHRAM NOURI DENTAL CORP. VALLEY VILLAGE CA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 159 $6K
2019 87 $5K
2022 188 $13K
2023 206 $19K
2024 287 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2751 Crown - porcelain fused to predominantly base metal 43 27 $20K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 124 57 $8K
D0210 Intraoral - complete series of radiographic images 131 129 $6K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 67 42 $5K
D0150 Comprehensive oral evaluation - new or established patient 97 97 $5K
D4910 51 51 $4K
D2952 37 29 $4K
D2394 43 15 $4K
D0120 Periodic oral evaluation - established patient 50 50 $3K
D0230 Intraoral - periapical each additional radiographic image 270 62 $1K
D1208 Topical application of fluoride, excluding varnish 14 14 $201.00