MASSOUD KASHANCHI, DDS. PROF. CORP.
NPI: 1972013134
· COSTA MESA, CA 92626
· Prosthodontist
· NPI assigned 10/02/2017
$188K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
56 |
$3K |
| 2019 |
647 |
$32K |
| 2020 |
555 |
$30K |
| 2021 |
635 |
$32K |
| 2022 |
455 |
$24K |
| 2023 |
700 |
$41K |
| 2024 |
468 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,974 |
1,967 |
$129K |
| D0330 |
Panoramic radiographic image |
892 |
890 |
$26K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
172 |
70 |
$20K |
| D0210 |
Intraoral - complete series of radiographic images |
147 |
147 |
$7K |
| D1110 |
Prophylaxis - adult |
50 |
50 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
126 |
126 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
155 |
50 |
$639.90 |