ANIS TEBYANIAN DMD MD PA
NPI: 1609487891
· OLNEY, MD 20832
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 08/12/2020
$546K
Total Medicaid Paid
Provider Details
| Authorized Official | TEBYANIAN, ANIS (OWNER/PRESIDENT) |
| NPI Enumeration Date | 08/12/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
111 |
$8K |
| 2022 |
842 |
$129K |
| 2023 |
1,206 |
$173K |
| 2024 |
1,517 |
$236K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,046 |
345 |
$313K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
623 |
614 |
$98K |
| D9222 |
|
624 |
615 |
$47K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
327 |
144 |
$35K |
| D9310 |
|
719 |
709 |
$34K |
| D0330 |
Panoramic radiographic image |
296 |
294 |
$14K |
| D7230 |
|
24 |
13 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
17 |
17 |
$957.78 |