Medicaid Provider Spending

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

ARGINA KUDAVERDIAN DDS INC

NPI: 1366181711 · TARZANA, CA 91356 · General Practice Dentistry · NPI assigned 06/02/2022

$55K
Total Medicaid Paid
1,485
Total Claims
1,253
Beneficiaries
10
Codes Billed
2022-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKUDAVERDIAN, ARGINA (PRESIDENT)
NPI Enumeration Date06/02/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 215 $10K
2023 722 $31K
2024 548 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 329 328 $22K
D0210 Intraoral - complete series of radiographic images 249 249 $11K
D1110 Prophylaxis - adult 116 116 $10K
D1206 Topical application of fluoride varnish 265 264 $5K
D9430 79 71 $3K
D0350 191 50 $2K
D0120 Periodic oral evaluation - established patient 13 13 $1K
D1320 47 47 $777.50
D1208 Topical application of fluoride, excluding varnish 45 45 $621.50
D0230 Intraoral - periapical each additional radiographic image 151 70 $611.55