ARMINE HARUTYUNYAN DDS INC
NPI: 1487032280
· GLENDALE, CA 91205
· Dental Clinic/Center
· NPI assigned 05/12/2015
$320K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: HARUTYUNYAN, ARMINE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
744 |
$35K |
| 2019 |
827 |
$31K |
| 2020 |
955 |
$39K |
| 2021 |
566 |
$34K |
| 2022 |
517 |
$34K |
| 2023 |
665 |
$80K |
| 2024 |
804 |
$68K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
909 |
903 |
$70K |
| D0120 |
Periodic oral evaluation - established patient |
869 |
866 |
$58K |
| D2751 |
Crown - porcelain fused to predominantly base metal |
121 |
62 |
$58K |
| D4910 |
|
594 |
592 |
$45K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
649 |
642 |
$37K |
| D0210 |
Intraoral - complete series of radiographic images |
558 |
554 |
$24K |
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
15 |
12 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
405 |
404 |
$5K |
| D0274 |
Bitewings - four radiographic images |
181 |
181 |
$4K |
| D1120 |
Prophylaxis - child |
125 |
124 |
$3K |
| D4341 |
|
45 |
12 |
$3K |
| D2954 |
|
22 |
12 |
$2K |
| D0350 |
|
277 |
83 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
296 |
79 |
$1K |
| D9430 |
|
12 |
12 |
$384.00 |