MEHRAN JAVAHERIAN D.D.S. INC.
NPI: 1578605499
· LOS ANGELES, CA 90022
· General Practice Dentistry
· NPI assigned 02/14/2007
$418K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: JAVAHERIAN, MEHRAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,609 |
$61K |
| 2019 |
8,771 |
$79K |
| 2020 |
5,019 |
$38K |
| 2021 |
5,019 |
$43K |
| 2022 |
6,333 |
$65K |
| 2023 |
4,934 |
$53K |
| 2024 |
4,147 |
$78K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
32,512 |
3,733 |
$128K |
| D0120 |
Periodic oral evaluation - established patient |
1,638 |
1,635 |
$83K |
| D0272 |
Bitewings - two radiographic images |
3,443 |
3,439 |
$40K |
| D1120 |
Prophylaxis - child |
972 |
970 |
$34K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,858 |
2,852 |
$34K |
| D1110 |
Prophylaxis - adult |
399 |
399 |
$34K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
303 |
303 |
$20K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
206 |
110 |
$14K |
| D9430 |
|
283 |
258 |
$9K |
| D2751 |
Crown - porcelain fused to predominantly base metal |
17 |
13 |
$8K |
| D4341 |
|
99 |
26 |
$7K |
| D2954 |
|
32 |
25 |
$3K |
| D2140 |
|
40 |
25 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
30 |
30 |
$1K |