AIVAZIAN, BERJOUHI (BETTY)
NPI: 1205825411
· MT PROSPECT, IL 60056
· Dentist
· NPI assigned 10/19/2005
$113K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
503 |
$14K |
| 2019 |
749 |
$23K |
| 2020 |
754 |
$22K |
| 2021 |
657 |
$20K |
| 2022 |
395 |
$12K |
| 2023 |
536 |
$16K |
| 2024 |
191 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,184 |
1,141 |
$49K |
| D0120 |
Periodic oral evaluation - established patient |
1,099 |
1,063 |
$31K |
| D1206 |
Topical application of fluoride varnish |
1,173 |
1,132 |
$31K |
| D0274 |
Bitewings - four radiographic images |
116 |
105 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
106 |
97 |
$720.84 |
| D0220 |
Intraoral - periapical first radiographic image |
107 |
102 |
$623.90 |