HAMPARSOUMIAN, HAGOP
NPI: 1457410631
· MOUNT VERNON, NY 10550
· Dentist
· NPI assigned 12/06/2006
$835.80
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
53 |
$835.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$280.25 |
| D0220 |
Intraoral - periapical first radiographic image |
29 |
29 |
$279.35 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$276.20 |