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ALEN BAKHTAMIAN PROFESSIONAL DENTAL CORPORATION FAIR OAKS SPECIALTY
ALEN BAKHTAMIAN PROFESSIONAL DENTAL CORPORATION FAIR OAKS SPECIALTY
NPI: 1518292374
· PACOIMA, CA 91331
· Dentist
· NPI assigned 10/13/2009
Provider Details
| Authorized Official | GIL, AURORA (ASSISTANT MANAGER) |
| NPI Enumeration Date | 10/13/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
591 |
$7K |
| 2019 |
101 |
$4K |
| 2021 |
318 |
$13K |
| 2022 |
80 |
$5K |
| 2023 |
164 |
$4K |
| 2024 |
273 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
533 |
531 |
$30K |
| D0210 |
Intraoral - complete series of radiographic images |
162 |
162 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
500 |
271 |
$2K |
| D0274 |
Bitewings - four radiographic images |
99 |
99 |
$2K |
| D1206 |
Topical application of fluoride varnish |
106 |
105 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
40 |
40 |
$970.00 |
| D0220 |
Intraoral - periapical first radiographic image |
75 |
73 |
$498.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$246.00 |