Dental
K. Shagramanova Dental Corp.
K. Shagramanova Dental Corp. was paid $2.26M by Medicaid between Dec 2019 and Dec 2024, across 20 billing codes. Its largest line is D3330, Endodontic therapy, molar tooth (excluding final restoration) — 35% of everything it billed.
33Billing provider infoK. SHAGRAMANOVA DENTAL CORP.
SOUTH GATE, CA 90280
SOUTH GATE, CA 90280
33aNPI1659938470assigned 05/28/2019
33bProvider typeEndodontist
28Total paid$2.26M
24GClaims31,554
24DCodes billed20
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Endodontist providers in California
Rank by total paid#8 of 68
Median peer was paid$116K
This provider vs. median19×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 113 | $4K | |
| 2020 | 2,581 | $246K | |
| 2021 | 3,334 | $309K | |
| 2022 | 6,078 | $506K | |
| 2023 | 7,992 | $544K | |
| 2024incomplete | 11,456 | $653K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 35% | 1,704 | 1,529 | $787K |
| D0150 | Comprehensive oral evaluation - new or established patient | 21% | 7,430 | 7,314 | $483K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 13% | 738 | 559 | $285K |
| D0210 | Intraoral - complete series of radiographic images | 4.7% | 2,259 | 2,207 | $106K |
| D0330 | Panoramic radiographic image | 4.5% | 3,444 | 3,398 | $102K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.5% | 2,067 | 1,911 | $79K |
| D9222 | 2.9% | 547 | 545 | $66K | |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 4,506 | 4,447 | $54K |
| D9430 | 2.1% | 1,520 | 1,388 | $48K | |
| D3348 | 2.1% | 103 | 100 | $48K | |
| D7240 | Removal of impacted tooth - completely bony | 1.8% | 179 | 88 | $41K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.5% | 276 | 158 | $33K |
8 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSHAGRAMANOVA, KRISTINA (CEO)