Dental
Manssourian, Armen
Manssourian, Armen was paid $38K by Medicaid between Feb 2018 and Sep 2024, across 10 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 32% of everything it billed.
33Billing provider infoMANSSOURIAN, ARMEN
LANCASTER, CA 93534
LANCASTER, CA 93534
33aNPI1225241458assigned 05/07/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$38K
24GClaims755
24DCodes billed10
24AFirst – last monthFeb 2018 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,868 of 2,668
Median peer was paid$173K
This provider vs. median0.2×
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 | 293 | $11K | |
| 2019 | 222 | $6K | |
| 2023 | 37 | $2K | |
| 2024incomplete | 203 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2751 | Crown - porcelain fused to predominantly base metal | 32% | 25 | 18 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 25% | 177 | 175 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 15% | 126 | 126 | $6K |
| D9430 | 14% | 176 | 127 | $5K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.2% | 35 | 35 | $2K |
| D2954 | 4.2% | 15 | 13 | $2K | |
| D1120 | Dental cleaning, childProphylaxis - child | 2.2% | 29 | 29 | $840.00 |
| D0274 | Bitewings - four radiographic images | 1.5% | 26 | 26 | $561.60 |
| D1208 | Topical application of fluoride, excluding varnish | 1.1% | 48 | 47 | $394.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 98 | 45 | $358.05 |
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.