Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ALBERT MELIKYAN DDS, INC.

NPI: 1558526244 · LAKE BALBOA, CA 91406 · General Practice Dentistry · NPI assigned 07/23/2008

$50K
Total Medicaid Paid
3,748
Total Claims
1,973
Beneficiaries
9
Codes Billed
2018-01
First Month
2020-11
Last Month

Provider Details

Authorized OfficialMELIKYAN, ALBERT (DENTIST/PRESIDENT)
NPI Enumeration Date07/23/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,944 $27K
2019 916 $11K
2020 888 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 235 232 $12K
D0120 Periodic oral evaluation - established patient 323 319 $11K
D0230 Intraoral - periapical each additional radiographic image 2,267 523 $10K
D0274 Bitewings - four radiographic images 245 244 $5K
D0210 Intraoral - complete series of radiographic images 106 104 $4K
D1120 Prophylaxis - child 137 137 $4K
D1208 Topical application of fluoride, excluding varnish 368 368 $4K
D0350 37 16 $234.00
D0190 30 30 $0.00