SAHAWNEH DENTAL CORPORATION
NPI: 1942685581
· RANCHO CUCAMONGA, CA 91730
· 122300000X
$459K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,666 |
$65K |
| 2019 |
3,182 |
$73K |
| 2020 |
2,484 |
$55K |
| 2021 |
3,725 |
$92K |
| 2022 |
2,202 |
$52K |
| 2023 |
2,071 |
$59K |
| 2024 |
1,984 |
$64K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
|
1,662 |
1,647 |
$101K |
| D0120 |
|
1,857 |
1,842 |
$84K |
| D2392 |
|
817 |
357 |
$52K |
| D0210 |
|
847 |
840 |
$39K |
| D1120 |
|
1,143 |
1,132 |
$39K |
| D0274 |
|
1,662 |
1,648 |
$34K |
| D0230 |
|
6,781 |
3,074 |
$27K |
| D9430 |
|
586 |
546 |
$19K |
| D0350 |
|
1,999 |
550 |
$18K |
| D1206 |
|
1,405 |
1,391 |
$16K |
| D7210 |
|
100 |
36 |
$12K |
| D4910 |
|
96 |
96 |
$7K |
| D1110 |
|
26 |
26 |
$2K |
| D9223 |
|
17 |
12 |
$2K |
| D0272 |
|
195 |
194 |
$2K |
| D9222 |
|
13 |
12 |
$1K |
| D2391 |
|
19 |
13 |
$982.80 |
| D9230 |
|
14 |
14 |
$455.00 |
| D0330 |
|
12 |
12 |
$300.00 |
| D0220 |
|
25 |
25 |
$276.00 |
| D0140 |
|
12 |
12 |
$0.00 |
| D4346 |
|
26 |
26 |
$0.00 |