AFSHIN DOOSTAN DDS INC
NPI: 1609316439
· GARDENA, CA 90249
· General Practice Dentistry
· NPI assigned 02/27/2017
$291K
Total Medicaid Paid
Provider Details
| Authorized Official | DOOSTAN, AFSHIN (OWNER/ DOCTOR) |
| NPI Enumeration Date | 02/27/2017 |
Related Entities
Other providers sharing the same authorized official: DOOSTAN, AFSHIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17 |
$411.25 |
| 2019 |
88 |
$3K |
| 2020 |
1,143 |
$29K |
| 2021 |
1,799 |
$51K |
| 2022 |
2,194 |
$79K |
| 2023 |
2,725 |
$88K |
| 2024 |
1,348 |
$41K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,173 |
1,165 |
$74K |
| D4910 |
|
561 |
554 |
$43K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
620 |
613 |
$40K |
| D1110 |
Prophylaxis - adult |
372 |
368 |
$33K |
| D0210 |
Intraoral - complete series of radiographic images |
586 |
582 |
$28K |
| D1120 |
Prophylaxis - child |
545 |
543 |
$24K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,633 |
1,624 |
$22K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,160 |
989 |
$13K |
| D0274 |
Bitewings - four radiographic images |
568 |
567 |
$11K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
27 |
12 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
49 |
49 |
$588.00 |
| D1999 |
|
20 |
20 |
$0.00 |