Medicaid Provider Spending

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

JIRAIR GASPARIAN DENTAL CORPORATION

NPI: 1699466391 · NORTH HILLS, CA 91343 · Dental Clinic/Center · NPI assigned 05/15/2023

$80K
Total Medicaid Paid
442
Total Claims
360
Beneficiaries
8
Codes Billed
2024-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGASPARIAN, JIRAIR (DENTIST)
NPI Enumeration Date05/15/2023

Related Entities

Other providers sharing the same authorized official: GASPARIAN, JIRAIR

ProviderCityStateTotal Paid
JIRAIR GASPARIAN DDS INC. LOS ANGELES CA $1.08M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 442 $80K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2751 Crown - porcelain fused to predominantly base metal 124 77 $59K
D2952 60 41 $6K
D0150 Comprehensive oral evaluation - new or established patient 82 82 $5K
D0210 Intraoral - complete series of radiographic images 76 76 $4K
D1110 Prophylaxis - adult 28 28 $2K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 15 12 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 27 14 $1K
D1206 Topical application of fluoride varnish 30 30 $510.00