GANJI DMD DENTAL CORPORATION
NPI: 1912319088
· HAWTHORNE, CA 90250
· Preferred Provider Organization
· NPI assigned 05/23/2014
$115K
Total Medicaid Paid
Provider Details
| Authorized Official | GANJI, DAVID (OWNER/DENTIST) |
| NPI Enumeration Date | 05/23/2014 |
Related Entities
Other providers sharing the same authorized official: GANJI, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
92 |
$5K |
| 2023 |
1,245 |
$48K |
| 2024 |
2,416 |
$61K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
714 |
707 |
$47K |
| D0350 |
|
852 |
530 |
$19K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,097 |
585 |
$15K |
| D0274 |
Bitewings - four radiographic images |
505 |
505 |
$11K |
| D0210 |
Intraoral - complete series of radiographic images |
160 |
157 |
$8K |
| D9430 |
|
150 |
134 |
$5K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
49 |
28 |
$4K |
| D1110 |
Prophylaxis - adult |
28 |
28 |
$3K |
| D1206 |
Topical application of fluoride varnish |
122 |
121 |
$2K |
| D1320 |
|
64 |
64 |
$985.00 |
| D4910 |
|
12 |
12 |
$924.00 |