Medicaid Provider Spending

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

M ABRAMOVICI & S NOURIAN D.D.S. INC.

NPI: 1447462114 · WHITTIER, CA 90605 · General Practice Dentistry · NPI assigned 05/04/2007

$17K
Total Medicaid Paid
1,071
Total Claims
1,018
Beneficiaries
7
Codes Billed
2018-01
First Month
2022-05
Last Month

Provider Details

Authorized OfficialNOURIAN, SHAHRAM (OWNER, DENTIST)
NPI Enumeration Date05/04/2007

Related Entities

Other providers sharing the same authorized official: NOURIAN, SHAHRAM

ProviderCityStateTotal Paid
NOURIAN DENTAL GROUP, INC. PANORAMA CITY CA $49K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 598 $7K
2019 325 $4K
2020 98 $3K
2021 13 $538.00
2022 37 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 647 617 $11K
D1120 Prophylaxis - child 183 180 $4K
D0210 Intraoral - complete series of radiographic images 69 64 $920.00
D0272 Bitewings - two radiographic images 65 65 $337.00
D1206 Topical application of fluoride varnish 13 13 $182.00
D0220 Intraoral - periapical first radiographic image 31 31 $169.00
D0230 Intraoral - periapical each additional radiographic image 63 48 $120.75