S SHAUN DANESHGAR DMD INC
NPI: 1831758762
· PACOIMA, CA 91331
· General Practice Dentistry
· NPI assigned 06/13/2019
Provider Details
Related Entities
Other providers sharing the same authorized official: DANESHGAR, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
14 |
$924.00 |
| 2021 |
220 |
$11K |
| 2022 |
224 |
$11K |
| 2023 |
26 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
169 |
168 |
$11K |
| D0210 |
Intraoral - complete series of radiographic images |
72 |
71 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
38 |
13 |
$3K |
| D9430 |
|
77 |
64 |
$2K |
| D1110 |
Prophylaxis - adult |
29 |
29 |
$2K |
| D1320 |
|
53 |
53 |
$815.00 |
| D1206 |
Topical application of fluoride varnish |
46 |
46 |
$703.00 |