Medicaid Provider Spending

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

NADINE SHASHATY DDS INC

NPI: 1982092086 · PANORAMA CITY, CA 91402 · General Practice Dentistry · NPI assigned 12/26/2014

$6K
Total Medicaid Paid
659
Total Claims
343
Beneficiaries
10
Codes Billed
2018-01
First Month
2018-08
Last Month

Provider Details

Authorized OfficialSHASHATY, NADINE (DENTIST)
NPI Enumeration Date12/26/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 659 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 437 124 $2K
D0120 Periodic oral evaluation - established patient 65 64 $2K
D9430 33 32 $868.00
D1110 Prophylaxis - adult 16 16 $480.00
D1120 Prophylaxis - child 17 17 $480.00
D0274 Bitewings - four radiographic images 17 17 $252.00
D0220 Intraoral - periapical first radiographic image 16 15 $160.00
D1206 Topical application of fluoride varnish 16 16 $150.00
D0272 Bitewings - two radiographic images 14 14 $140.00
D1208 Topical application of fluoride, excluding varnish 28 28 $140.00