K. SHAGRAMANOVA DENTAL CORP.
NPI: 1659938470
· SOUTH GATE, CA 90280
· 1223E0200X
$2.26M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
113 |
$4K |
| 2020 |
2,581 |
$246K |
| 2021 |
3,334 |
$309K |
| 2022 |
6,078 |
$506K |
| 2023 |
7,992 |
$544K |
| 2024 |
11,456 |
$653K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
|
1,704 |
1,529 |
$787K |
| D0150 |
|
7,430 |
7,314 |
$483K |
| D9223 |
|
738 |
559 |
$285K |
| D0210 |
|
2,259 |
2,207 |
$106K |
| D0330 |
|
3,444 |
3,398 |
$102K |
| D9230 |
|
2,067 |
1,911 |
$79K |
| D9222 |
|
547 |
545 |
$66K |
| D0220 |
|
4,506 |
4,447 |
$54K |
| D9430 |
|
1,520 |
1,388 |
$48K |
| D3348 |
|
103 |
100 |
$48K |
| D7240 |
|
179 |
88 |
$41K |
| D7210 |
|
276 |
158 |
$33K |
| D9610 |
|
863 |
591 |
$32K |
| D3320 |
|
81 |
75 |
$30K |
| D0272 |
|
2,051 |
1,890 |
$22K |
| D0230 |
|
3,625 |
2,625 |
$15K |
| D7230 |
|
74 |
45 |
$14K |
| D9221 |
|
31 |
30 |
$10K |
| D9220 |
|
30 |
30 |
$7K |
| D9110 |
|
26 |
24 |
$1K |