Medicaid Provider Spending

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

HORMOZ NOURIAN, D.D.S. INC.

NPI: 1669660296 · WOODLAND HILLS, CA 91364 · General Practice Dentistry · NPI assigned 10/09/2007

$13K
Total Medicaid Paid
1,279
Total Claims
590
Beneficiaries
7
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialNOURIAN, JALEH (OFFICE MANAGER)
NPI Enumeration Date10/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 249 $2K
2019 242 $3K
2020 319 $3K
2021 158 $913.29
2022 40 $2K
2023 271 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 876 216 $3K
D1110 Prophylaxis - adult 28 28 $2K
D0220 Intraoral - periapical first radiographic image 182 153 $2K
D0274 Bitewings - four radiographic images 70 70 $1K
D1208 Topical application of fluoride, excluding varnish 94 94 $1K
D0150 Comprehensive oral evaluation - new or established patient 16 16 $1K
D0120 Periodic oral evaluation - established patient 13 13 $1K