Medicaid Provider Spending

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

ALEXANDRIAN DENTISTRY INC.

NPI: 1417401464 · VAN NUYS, CA 91405 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 08/08/2016

$19K
Total Medicaid Paid
1,020
Total Claims
655
Beneficiaries
8
Codes Billed
2018-01
First Month
2019-08
Last Month

Provider Details

Authorized OfficialALEXANDRIAN, NAREG (OWNER)
NPI Enumeration Date08/08/2016

Related Entities

Other providers sharing the same authorized official: ALEXANDRIAN, NAREG

ProviderCityStateTotal Paid
ALEXANDRIAN DENTISTRY INC. MONTEBELLO CA $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 689 $13K
2019 331 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 279 274 $12K
D0210 Intraoral - complete series of radiographic images 88 84 $3K
D0230 Intraoral - periapical each additional radiographic image 284 87 $1K
D1120 Prophylaxis - child 46 41 $1K
D0330 Panoramic radiographic image 50 49 $950.00
D0350 205 55 $788.40
D1208 Topical application of fluoride, excluding varnish 54 52 $391.00
D0220 Intraoral - periapical first radiographic image 14 13 $130.00