Medicaid Provider Spending

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

MARINA STEPANYAN DDS INC

NPI: 1629692967 · HAWTHORNE, CA 90250 · Dentist · NPI assigned 06/02/2020

$13K
Total Medicaid Paid
694
Total Claims
305
Beneficiaries
5
Codes Billed
2021-11
First Month
2023-03
Last Month

Provider Details

Authorized OfficialSTEPANYAN, MARINA (DENTIST)
NPI Enumeration Date06/02/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 14 $924.00
2022 616 $12K
2023 64 $259.20

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 145 145 $10K
D0230 Intraoral - periapical each additional radiographic image 477 88 $2K
D0274 Bitewings - four radiographic images 47 47 $993.60
D1120 Prophylaxis - child 13 13 $682.50
D1208 Topical application of fluoride, excluding varnish 12 12 $198.00