Medicaid Provider Spending

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

KHOSH, SHAYESTEH

NPI: 1477699635 · BURBANK, CA 91504 · Dentist · NPI assigned 01/29/2007

$57K
Total Medicaid Paid
2,472
Total Claims
2,031
Beneficiaries
9
Codes Billed
2018-01
First Month
2022-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,185 $20K
2019 907 $24K
2020 172 $5K
2021 171 $7K
2022 37 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 522 519 $21K
D1110 Prophylaxis - adult 223 222 $18K
D1120 Prophylaxis - child 167 166 $5K
D0230 Intraoral - periapical each additional radiographic image 930 502 $4K
D0272 Bitewings - two radiographic images 259 255 $3K
D1206 Topical application of fluoride varnish 135 135 $2K
D1208 Topical application of fluoride, excluding varnish 211 207 $2K
D4910 13 13 $936.00
D0150 Comprehensive oral evaluation - new or established patient 12 12 $792.00