Medicaid Provider Spending

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

ANGEL'S CARE DENTAL

NPI: 1437839461 · LOS ANGELES, CA 90027 · General Practice Dentistry · NPI assigned 07/24/2023

$47K
Total Medicaid Paid
885
Total Claims
748
Beneficiaries
9
Codes Billed
2023-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialARAKELYAN, HAYK (DENTIST)
NPI Enumeration Date07/24/2023

Related Entities

Other providers sharing the same authorized official: ARAKELYAN, HAYK

ProviderCityStateTotal Paid
H ARAKELYAN PROFESSIONAL DENTAL CORP GLENDALE CA $1.49M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 40 $3K
2024 845 $44K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 228 228 $15K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 129 59 $9K
D0210 Intraoral - complete series of radiographic images 156 156 $7K
D9430 194 168 $6K
D1110 Prophylaxis - adult 68 68 $6K
D2391 Resin-based composite - one surface, posterior, primary or permanent 55 26 $3K
D1206 Topical application of fluoride varnish 18 18 $312.00
D1208 Topical application of fluoride, excluding varnish 13 13 $192.00
D0230 Intraoral - periapical each additional radiographic image 24 12 $97.20