Medicaid Provider Spending

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

S J SHAHANGIAN DDS MS INC

NPI: 1548570203 · SAN DIEGO, CA 92131 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 10/15/2010

$22K
Total Medicaid Paid
642
Total Claims
538
Beneficiaries
10
Codes Billed
2024-03
First Month
2024-07
Last Month

Provider Details

Authorized OfficialSHAHANGIAN, JOSSEIN (PEDIATRIC DENTIST)
NPI Enumeration Date10/15/2010

Related Entities

Other providers sharing the same authorized official: SHAHANGIAN, JOSSEIN

ProviderCityStateTotal Paid
S J SHAHANGIAN DDS MS INC ALPINE CA $55K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 642 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 124 124 $6K
D0120 Periodic oral evaluation - established patient 53 53 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 52 32 $3K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 58 56 $2K
D1208 Topical application of fluoride, excluding varnish 119 119 $2K
D0150 Comprehensive oral evaluation - new or established patient 33 33 $2K
D0240 64 32 $640.00
D0272 Bitewings - two radiographic images 31 31 $372.00
D0230 Intraoral - periapical each additional radiographic image 76 26 $307.80
D1330 32 32 $0.00