CHOLAKIAN, GRACE
NPI: 1144656109
· JERICHO, NY 11753
· Dentist
· NPI assigned 09/23/2013
$107K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$765.00 |
| 2019 |
245 |
$5K |
| 2020 |
437 |
$9K |
| 2021 |
868 |
$18K |
| 2022 |
1,036 |
$22K |
| 2023 |
1,392 |
$27K |
| 2024 |
1,262 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
970 |
969 |
$45K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,103 |
1,098 |
$16K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
537 |
537 |
$13K |
| D0220 |
Intraoral - periapical first radiographic image |
1,126 |
1,122 |
$13K |
| D0274 |
Bitewings - four radiographic images |
467 |
467 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
245 |
245 |
$6K |
| D0272 |
Bitewings - two radiographic images |
212 |
212 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
604 |
603 |
$1K |