Medicaid Provider Spending

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

DENTAL OFFICE OF HAROUNI AND ELGRICHI

NPI: 1437926748 · PANORAMA CITY, CA 91402 · Dental Clinic/Center · NPI assigned 12/06/2023

$8K
Total Medicaid Paid
239
Total Claims
161
Beneficiaries
6
Codes Billed
2024-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHAROUNI, NIMA (PRINCIPAL)
NPI Enumeration Date12/06/2023

Related Entities

Other providers sharing the same authorized official: HAROUNI, NIMA

ProviderCityStateTotal Paid
ELGRICHI HAROUNI DENTAL CORP WHITTIER CA $954K
ELGRICHI HAROUNI DENTAL CORP LOS ANGELES CA $68K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 239 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 72 72 $5K
D1110 Prophylaxis - adult 14 14 $1K
D0210 Intraoral - complete series of radiographic images 13 13 $624.00
D1208 Topical application of fluoride, excluding varnish 30 30 $450.00
D0230 Intraoral - periapical each additional radiographic image 95 17 $405.00
D0274 Bitewings - four radiographic images 15 15 $324.00