Medicaid Provider Spending

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

SHANT TERTERYAN DDS INC

NPI: 1649984865 · MISSION HILLS, CA 91345 · Dental Clinic/Center · NPI assigned 01/11/2023

$65K
Total Medicaid Paid
1,074
Total Claims
737
Beneficiaries
7
Codes Billed
2023-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialTERTERYAN, SHANT (OWNER)
NPI Enumeration Date01/11/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 265 $16K
2024 809 $49K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 298 298 $20K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 289 70 $19K
D0210 Intraoral - complete series of radiographic images 268 268 $13K
D4341 104 26 $7K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 36 12 $3K
D2332 25 12 $2K
D9430 54 51 $2K