VARTAN L. THOMAS DDS INC
NPI: 1255480620
· HUNTINGTON PARK, CA 90255
· General Practice Dentistry
· NPI assigned 01/09/2007
$222K
Total Medicaid Paid
Provider Details
| Authorized Official | THOMAS, VARTAN (PRESIDENT) |
| NPI Enumeration Date | 01/09/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,994 |
$53K |
| 2019 |
1,896 |
$27K |
| 2020 |
1,142 |
$11K |
| 2021 |
1,184 |
$16K |
| 2022 |
1,741 |
$29K |
| 2023 |
2,317 |
$37K |
| 2024 |
2,065 |
$49K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
714 |
707 |
$44K |
| D0120 |
Periodic oral evaluation - established patient |
895 |
892 |
$43K |
| D0230 |
Intraoral - periapical each additional radiographic image |
6,937 |
1,310 |
$30K |
| D0210 |
Intraoral - complete series of radiographic images |
580 |
574 |
$26K |
| D2140 |
|
294 |
141 |
$16K |
| D0350 |
|
1,739 |
694 |
$15K |
| D0272 |
Bitewings - two radiographic images |
1,203 |
1,199 |
$14K |
| D4341 |
|
207 |
81 |
$14K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
126 |
67 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
504 |
502 |
$6K |
| D1120 |
Prophylaxis - child |
125 |
125 |
$4K |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$1K |