NIGOGHOSIAN DENTAL GROUP INC
NPI: 1326501891
· LA VERNE, CA 91750
· Dentist
· NPI assigned 04/10/2019
$104K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: NIGOGHOSIAN, JOHNNY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
128 |
$7K |
| 2022 |
306 |
$14K |
| 2023 |
1,308 |
$28K |
| 2024 |
2,552 |
$54K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
637 |
636 |
$42K |
| D0210 |
Intraoral - complete series of radiographic images |
583 |
582 |
$27K |
| D0350 |
|
2,275 |
626 |
$21K |
| D1320 |
|
302 |
302 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
52 |
35 |
$3K |
| D9430 |
|
53 |
51 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
287 |
90 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$1K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
18 |
13 |
$982.80 |
| D1208 |
Topical application of fluoride, excluding varnish |
29 |
29 |
$423.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$180.00 |
| D1310 |
|
30 |
30 |
$0.00 |