Medicaid Provider Spending

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

KHAJADOUR DONABEDIAN DDS INC

NPI: 1801437520 · PASADENA, CA 91107 · 261QD0000X

$78K

Total Medicaid Paid

1,269

Total Claims

1,154

Beneficiaries

9

Codes Billed

2020-09

First Month

2024-11

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2020	27	$2K
2021	173	$10K
2022	157	$10K
2023	378	$21K
2024	534	$34K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0150		475	471	$31K
D1110		167	167	$14K
D0120		151	150	$11K
D4341		107	28	$7K
D0210		152	152	$7K
D4910		66	66	$5K
D0220		66	65	$786.00
D0274		31	31	$648.00
D0230		54	24	$218.70