MAKAN TARZANA DENTAL CORPORATION
NPI: 1700536810
· TARZANA, CA 91356
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 03/24/2022
$203K
Total Medicaid Paid
Provider Details
| Authorized Official | MAKAN, SIRISH (OFFICER) |
| NPI Enumeration Date | 03/24/2022 |
Related Entities
Other providers sharing the same authorized official: MAKAN, SIRISH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
146 |
$7K |
| 2024 |
2,454 |
$196K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
476 |
139 |
$69K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
503 |
503 |
$33K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
256 |
110 |
$30K |
| D9222 |
|
139 |
139 |
$17K |
| D7230 |
|
84 |
43 |
$16K |
| D0330 |
Panoramic radiographic image |
495 |
495 |
$15K |
| D9610 |
|
468 |
137 |
$12K |
| D7240 |
Removal of impacted tooth - completely bony |
26 |
13 |
$6K |
| D9430 |
|
134 |
130 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
19 |
12 |
$76.95 |