HARTOUNIAN DENTAL GROUP INC.
NPI: 1245739150
· SIMI VALLEY, CA 93063
· Dentist
· NPI assigned 02/06/2018
$131K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: HARTOUNIAN, HARMIK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$2K |
| 2019 |
170 |
$9K |
| 2020 |
292 |
$12K |
| 2021 |
746 |
$23K |
| 2022 |
786 |
$18K |
| 2023 |
798 |
$17K |
| 2024 |
1,986 |
$51K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
559 |
558 |
$37K |
| D9430 |
|
910 |
757 |
$29K |
| D0210 |
Intraoral - complete series of radiographic images |
482 |
482 |
$22K |
| D2740 |
Crown - porcelain/ceramic |
21 |
12 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
108 |
107 |
$8K |
| D0350 |
|
849 |
215 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,237 |
560 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
76 |
49 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
326 |
324 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
226 |
216 |
$3K |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$237.60 |