Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Andre Eliasian Dental Corporation

Andre Eliasian Dental Corporation was paid $1.97M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 26% of everything it billed.

33Billing provider infoANDRE ELIASIAN DENTAL CORPORATION
GLENDALE, CA 91206
33aNPI1508281387assigned 03/03/2014
33bProvider typeDentist
28Total paid$1.97M
24GClaims27,385
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Dentist providers in California

Rank by total paid#285 of 2,314
Median peer was paid$185K
This provider vs. median11×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20181,666$101K
20192,121$153K
20201,492$118K
20211,591$128K
20222,966$229K
20236,602$377K
2024incomplete10,947$864K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 26% 4,336 2,263 $506K
D2740 Crown - porcelain/ceramic 15% 620 417 $295K
D0150 Comprehensive oral evaluation - new or established patient 15% 4,540 4,512 $286K
D4341 9.7% 2,724 752 $191K
D0210 Intraoral - complete series of radiographic images 9.4% 4,130 4,104 $186K
D1110 Prophylaxis - adult 9.1% 2,048 2,040 $179K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 3.4% 1,077 1,071 $67K
D4910 2.3% 606 606 $46K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2.1% 609 412 $40K
D9430 1.6% 1,007 952 $31K
D3320 1.2% 63 58 $23K
D2751 Crown - porcelain fused to predominantly base metal <1% 36 27 $17K
20 more codes
D0230 Intraoral - periapical each additional radiographic image <1% 3,130 $12K
D2954 <1% 85 $9K
D7140 Extraction, erupted tooth or exposed root <1% 149 $9K
D1206 Topical application of fluoride varnish <1% 426 $7K
D2952 <1% 64 $7K
D0220 Intraoral - periapical first radiographic image <1% 556 $6K
D5520 <1% 92 $6K
D5750 <1% 30 $5K
D5751 <1% 26 $5K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 64 $5K
D3310 <1% 16 $5K
D5410 <1% 146 $5K
D4342 <1% 113 $5K
D0274 Bitewings - four radiographic images <1% 209 $4K
D5411 <1% 128 $4K
D0330 Panoramic radiographic image <1% 105 $3K
D1208 Topical application of fluoride, excluding varnish <1% 194 $3K
D2332 <1% 19 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 22 $1K
D3221 <1% 15 $945.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialELIASIAN, ANDRE (OWNER/DENTIST)