MARIYA GRIGORYAN DDS INC
NPI: 1649443516
· VISALIA, CA 93277
· Customized Equipment (DME)
· NPI assigned 04/10/2008
Provider Details
| Authorized Official | GRIGORYAN, MARIYA (DENTIST) |
| Parent Organization | MARIYA GRIGORYAN DMD INC |
| NPI Enumeration Date | 04/10/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
38 |
$848.00 |
| 2019 |
325 |
$6K |
| 2020 |
271 |
$8K |
| 2021 |
603 |
$15K |
| 2022 |
831 |
$28K |
| 2023 |
1,134 |
$28K |
| 2024 |
102 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
631 |
631 |
$35K |
| D1120 |
Prophylaxis - child |
544 |
543 |
$21K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
148 |
148 |
$9K |
| D0274 |
Bitewings - four radiographic images |
469 |
469 |
$8K |
| D0210 |
Intraoral - complete series of radiographic images |
186 |
186 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,285 |
578 |
$5K |
| D1110 |
Prophylaxis - adult |
18 |
18 |
$1K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
23 |
12 |
$1K |