GABRIEL GABBAYPOUR, DDS, MD, INC
NPI: 1750763736
· BEVERLY HILLS, CA 90210
· Dental Clinic/Center
· NPI assigned 06/25/2015
$289K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,135 |
$84K |
| 2019 |
766 |
$57K |
| 2020 |
507 |
$30K |
| 2021 |
517 |
$41K |
| 2022 |
404 |
$19K |
| 2023 |
598 |
$32K |
| 2024 |
522 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,950 |
1,947 |
$121K |
| D0330 |
Panoramic radiographic image |
1,875 |
1,872 |
$54K |
| D9221 |
|
212 |
162 |
$32K |
| D9220 |
|
150 |
150 |
$31K |
| D7240 |
Removal of impacted tooth - completely bony |
105 |
39 |
$24K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
49 |
38 |
$14K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
70 |
40 |
$8K |
| D9222 |
|
38 |
38 |
$5K |