Medicaid Provider Spending

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

DERHARTOUNIAN DENTAL CORPORATION

NPI: 1033251970 · MONTEBELLO, CA 90640 · General Practice Dentistry · NPI assigned 02/13/2007

$11K
Total Medicaid Paid
425
Total Claims
261
Beneficiaries
8
Codes Billed
2018-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDERHARTOUNIAN, HARMIK (PRESIDENT,CEO)
NPI Enumeration Date02/13/2007

Related Entities

Other providers sharing the same authorized official: DERHARTOUNIAN, HARMIK

ProviderCityStateTotal Paid
DERHARTOUNIAN DENTAL CORPORATION NORTH HOLLYWOOD CA $978K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 43 $2K
2019 24 $1K
2020 26 $1K
2022 102 $3K
2023 13 $924.00
2024 217 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 66 66 $4K
D0210 Intraoral - complete series of radiographic images 53 53 $2K
D4910 25 25 $2K
D0120 Periodic oral evaluation - established patient 13 13 $1K
D0230 Intraoral - periapical each additional radiographic image 168 36 $753.30
D1206 Topical application of fluoride varnish 42 42 $648.00
D0350 46 14 $412.80
D0274 Bitewings - four radiographic images 12 12 $216.00