Clinic
Gustavo A. Assatourians D.D.S. INC.
Gustavo A. Assatourians D.D.S. INC. was paid $11.77M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 19% of everything it billed.
33Billing provider infoGUSTAVO A. ASSATOURIANS D.D.S. INC.
PORT HUENEME, CA 93041
PORT HUENEME, CA 93041
33aNPI1063600898assigned 10/05/2007
33bProvider typeDental Clinic/Center
28Total paid$11.77M
24GClaims269,504
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#24 of 1,135
Median peer was paid$200K
This provider vs. median59×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 28,786 | $1.01M | |
| 2019 | 32,646 | $1.34M | |
| 2020 | 36,068 | $1.25M | |
| 2021 | 44,985 | $1.78M | |
| 2022 | 43,137 | $2.15M | |
| 2023 | 44,009 | $2.29M | |
| 2024incomplete | 39,873 | $1.95M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 19% | 18,881 | 8,909 | $2.21M |
| D9430 | 7.3% | 27,116 | 26,763 | $856K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.7% | 10,300 | 5,626 | $677K |
| D1110 | Prophylaxis - adult | 5.6% | 7,727 | 7,707 | $654K |
| D2740 | Crown - porcelain/ceramic | 5.5% | 1,372 | 1,033 | $646K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 5.0% | 1,280 | 1,230 | $590K |
| D7240 | Removal of impacted tooth - completely bony | 4.9% | 2,495 | 1,152 | $572K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 8,762 | 8,738 | $561K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.8% | 9,031 | 9,011 | $560K |
| D7230 | 4.0% | 2,506 | 1,439 | $468K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 8,762 | 4,326 | $468K |
| D0330 | Panoramic radiographic image | 3.2% | 12,789 | 12,771 | $375K |
32 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 73,246 | $341K |
| D0210 | Intraoral - complete series of radiographic images | 2.6% | 6,572 | $305K |
| D1120 | Dental cleaning, child | 2.1% | 6,253 | $244K |
| D0350 | 2.0% | 22,092 | $237K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.9% | 3,830 | $218K |
| D1206 | Topical application of fluoride varnish | 1.7% | 14,125 | $204K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 1.6% | 711 | $193K |
| D4910 | 1.6% | 2,496 | $189K | |
| D0274 | Bitewings - four radiographic images | 1.6% | 9,040 | $186K |
| D4341 | 1.4% | 2,463 | $170K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.2% | 1,750 | $136K |
| D2954 | <1% | 1,042 | $109K | |
| D2751 | Crown - porcelain fused to predominantly base metal | <1% | 224 | $107K |
| D3320 | <1% | 241 | $87K | |
| D2330 | <1% | 1,069 | $79K | |
| D9222 | <1% | 402 | $48K | |
| D9110 | <1% | 742 | $46K | |
| D2394 | <1% | 440 | $37K | |
| D0270 | <1% | 6,300 | $31K | |
| D7220 | <1% | 204 | $28K | |
| D9610 | <1% | 546 | $27K | |
| D3310 | <1% | 84 | $25K | |
| D0272 | Bitewings - two radiographic images | <1% | 2,047 | $23K |
| D4342 | <1% | 411 | $17K | |
| D1351 | Sealant - per tooth | <1% | 605 | $16K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,245 | $14K |
| D3348 | <1% | 13 | $6K | |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 110 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 40 | $2K |
| D2332 | <1% | 18 | $1K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 109 | $1K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 13 | $767.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialASSATOURIANS, GUSTAVO (OWNER/DR.)