ARPIN V. KHOSTEGYAN DDS
NPI: 1609284363
· BURBANK, CA 91506
· Dental Clinic/Center
· NPI assigned 07/25/2014
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
73 |
$3K |
| 2019 |
47 |
$1K |
| 2020 |
73 |
$2K |
| 2022 |
54 |
$3K |
| 2023 |
109 |
$6K |
| 2024 |
78 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
95 |
95 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
73 |
67 |
$3K |
| D9430 |
|
72 |
64 |
$2K |
| D1110 |
Prophylaxis - adult |
24 |
24 |
$2K |
| D0250 |
|
86 |
80 |
$2K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
23 |
12 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
28 |
27 |
$1K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$630.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
21 |
12 |
$85.05 |