Medicaid Provider Spending

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

STEPHAN MORADIANS DDS A PROF. CORP

NPI: 1578951216 · GLENDALE, CA 91204 · Public Health Dentist · NPI assigned 01/05/2015

$4K
Total Medicaid Paid
290
Total Claims
106
Beneficiaries
4
Codes Billed
2018-08
First Month
2021-03
Last Month

Provider Details

Authorized OfficialMORADIANS, STEPAN (OWNER)
NPI Enumeration Date01/05/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 157 $4K
2020 69 $279.45
2021 64 $259.20

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 24 24 $2K
D0230 Intraoral - periapical each additional radiographic image 226 42 $943.65
D0120 Periodic oral evaluation - established patient 15 15 $675.00
D1208 Topical application of fluoride, excluding varnish 25 25 $368.00