HAIG GAZARIAN DENTAL CORPORATION
NPI: 1417415241
· MONROVIA, CA 91016
· Dentist
· NPI assigned 03/11/2019
$116K
Total Medicaid Paid
Provider Details
| Authorized Official | GAZARIAN, HAIG (PRESIDENT) |
| NPI Enumeration Date | 03/11/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
302 |
$12K |
| 2021 |
1,527 |
$39K |
| 2022 |
1,089 |
$26K |
| 2023 |
1,269 |
$24K |
| 2024 |
935 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
443 |
438 |
$29K |
| D0350 |
|
3,000 |
883 |
$27K |
| D1110 |
Prophylaxis - adult |
210 |
210 |
$18K |
| D0210 |
Intraoral - complete series of radiographic images |
271 |
270 |
$13K |
| D1206 |
Topical application of fluoride varnish |
737 |
734 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
157 |
157 |
$11K |
| D1120 |
Prophylaxis - child |
80 |
80 |
$3K |
| D0330 |
Panoramic radiographic image |
52 |
52 |
$2K |
| D1320 |
|
80 |
80 |
$770.00 |
| D0274 |
Bitewings - four radiographic images |
30 |
30 |
$648.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
62 |
32 |
$251.10 |