KELISHADI SAMANI DENTAL CORP
NPI: 1508069576
· CARSON, CA 90745
· 122300000X
$874K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,552 |
$124K |
| 2019 |
5,398 |
$110K |
| 2020 |
3,314 |
$55K |
| 2021 |
3,695 |
$98K |
| 2022 |
4,112 |
$166K |
| 2023 |
3,837 |
$230K |
| 2024 |
2,400 |
$91K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2751 |
|
513 |
383 |
$241K |
| D0120 |
|
2,159 |
2,140 |
$107K |
| D0150 |
|
1,336 |
1,330 |
$79K |
| D0210 |
|
1,293 |
1,288 |
$59K |
| D0230 |
|
14,887 |
2,994 |
$59K |
| D2954 |
|
551 |
447 |
$57K |
| D2150 |
|
754 |
441 |
$50K |
| D1120 |
|
1,326 |
1,315 |
$46K |
| D9430 |
|
933 |
918 |
$29K |
| D7210 |
|
237 |
127 |
$27K |
| D0272 |
|
2,090 |
2,072 |
$24K |
| D2160 |
|
275 |
152 |
$22K |
| D1208 |
|
1,855 |
1,835 |
$20K |
| D1110 |
|
168 |
168 |
$12K |
| D4910 |
|
161 |
160 |
$12K |
| D4341 |
|
144 |
40 |
$10K |
| D3330 |
|
14 |
13 |
$6K |
| D0220 |
|
545 |
537 |
$6K |
| D2931 |
|
29 |
28 |
$4K |
| D8670 |
|
12 |
12 |
$4K |
| D0140 |
|
12 |
12 |
$420.00 |
| D0274 |
|
14 |
14 |
$280.80 |