Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HAWTHORNE
› JACK SHABANIAN, D.D.S. INC.
JACK SHABANIAN, D.D.S. INC.
NPI: 1538249222 · HAWTHORNE, CA 90250 ·
122300000X
$221K
Total Medicaid Paid
9,952
Total Claims
6,629
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-09
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
1,787
$29K
2019
1,351
$24K
2020
615
$10K
2021
1,076
$21K
2022
1,419
$32K
2023
2,092
$57K
2024
1,612
$47K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
808
807
$68K
D0120
727
727
$43K
D0150
501
500
$31K
D1208
1,630
1,629
$22K
D0230
4,803
1,502
$19K
D0274
433
433
$9K
D1120
198
198
$8K
D0220
560
542
$7K
D0210
132
132
$6K
D4910
69
69
$5K
D9430
91
90
$3K