Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › VALLEY VILLAGE › SHAHRAM NOURI DENTAL CORP.

SHAHRAM NOURI DENTAL CORP.

NPI: 1356844583 · VALLEY VILLAGE, CA 91607 · Dentist · NPI assigned 03/14/2018

$1K
Total Medicaid Paid
25
Total Claims
25
Beneficiaries
2
Codes Billed
2020-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialNOURI, SHAHRAM (DENTIST)
Parent OrganizationSHAHRAM NOURI DENTAL CORP.
NPI Enumeration Date03/14/2018

Related Entities

Other providers sharing the same authorized official: NOURI, SHAHRAM

ProviderCityStateTotal Paid
SHAHRAM NOURI DENTAL CORP. NORTHRIDGE CA $61K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 25 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 13 13 $858.00
D0210 12 12 $576.00