Medicaid Provider Spending

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

NOURIAN DENTAL GROUP, INC.

NPI: 1699892893 · PANORAMA CITY, CA 91402 · Dentist · NPI assigned 03/23/2007

$49K
Total Medicaid Paid
2,062
Total Claims
1,351
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNOURIAN, SHAHRAM (PARTNER)
NPI Enumeration Date03/23/2007

Related Entities

Other providers sharing the same authorized official: NOURIAN, SHAHRAM

ProviderCityStateTotal Paid
M ABRAMOVICI & S NOURIAN D.D.S. INC. WHITTIER CA $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 692 $7K
2019 378 $7K
2020 29 $2K
2021 202 $8K
2022 290 $6K
2023 152 $4K
2024 319 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 549 546 $28K
D0120 Periodic oral evaluation - established patient 190 171 $6K
D0210 Intraoral - complete series of radiographic images 90 90 $4K
D1120 Prophylaxis - child 168 151 $4K
D1110 Prophylaxis - adult 42 41 $3K
D0230 Intraoral - periapical each additional radiographic image 885 243 $3K
D0272 Bitewings - two radiographic images 50 41 $225.00
D0330 Panoramic radiographic image 13 13 $50.00
D0220 Intraoral - periapical first radiographic image 31 18 $0.00
D1330 44 37 $0.00