Medicaid Provider Spending

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

ARPIN V. KHOSTEGYAN DDS

NPI: 1609284363 · BURBANK, CA 91506 · Dental Clinic/Center · NPI assigned 07/25/2014

$19K
Total Medicaid Paid
434
Total Claims
393
Beneficiaries
9
Codes Billed
2018-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialKHOSTEGYAN, ARPIN (DENTIST)
NPI Enumeration Date07/25/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 73 $3K
2019 47 $1K
2020 73 $2K
2022 54 $3K
2023 109 $6K
2024 78 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 95 95 $6K
D0150 Comprehensive oral evaluation - new or established patient 73 67 $3K
D9430 72 64 $2K
D1110 Prophylaxis - adult 24 24 $2K
D0250 86 80 $2K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 23 12 $2K
D0210 Intraoral - complete series of radiographic images 28 27 $1K
D1120 Prophylaxis - child 12 12 $630.00
D0230 Intraoral - periapical each additional radiographic image 21 12 $85.05