Medicaid Provider Spending

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

HENRY SHAFAJOO D.D.S INC

NPI: 1699984039 · SOUTH GATE, CA 90280 · General Practice Dentistry · NPI assigned 05/22/2007

$19K
Total Medicaid Paid
1,547
Total Claims
721
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-10
Last Month

Provider Details

Authorized OfficialSHAFAJOO, HENRY (OWNER)
NPI Enumeration Date05/22/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,547 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 230 220 $9K
D0230 Intraoral - periapical each additional radiographic image 772 203 $3K
D0350 354 114 $3K
D0274 Bitewings - four radiographic images 123 118 $2K
D0210 Intraoral - complete series of radiographic images 25 25 $920.00
D1208 Topical application of fluoride, excluding varnish 43 41 $324.00