Medicaid Provider Spending

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

TIGRAN SHAHMANYAN DDS INC.

NPI: 1669689469 · WHITTIER, CA 90602 · General Practice Dentistry · NPI assigned 05/17/2007

$58K
Total Medicaid Paid
5,592
Total Claims
2,620
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSHAHMANYAN, TIGRAN (PRESIDENT)
NPI Enumeration Date05/17/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 890 $6K
2019 596 $6K
2020 490 $3K
2021 969 $12K
2022 853 $10K
2023 1,080 $14K
2024 714 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 294 288 $16K
D0230 Intraoral - periapical each additional radiographic image 4,082 1,117 $16K
D0120 Periodic oral evaluation - established patient 246 246 $13K
D0272 Bitewings - two radiographic images 868 867 $10K
D1120 Prophylaxis - child 74 74 $2K
D1110 Prophylaxis - adult 14 14 $1K
D0220 Intraoral - periapical first radiographic image 14 14 $80.00