Supplier
Mariya Grigoryan DDS INC
Mariya Grigoryan DDS INC was paid $89K by Medicaid between Apr 2018 and Jan 2024, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 39% of everything it billed.
33Billing provider infoMARIYA GRIGORYAN DDS INC
VISALIA, CA 93277
VISALIA, CA 93277
33aNPI1649443516assigned 04/10/2008
33bProvider typeCustomized Equipment (DME)
28Total paid$89K
24GClaims3,304
24DCodes billed8
24AFirst – last monthApr 2018 – Jan 2024
Compared with peers
Next to other Customized Equipment (DME) providers in California
Rank by total paid#44 of 65
Median peer was paid$216K
This provider vs. median0.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 38 | $848.00 | |
| 2019 | 325 | $6K | |
| 2020 | 271 | $8K | |
| 2021 | 603 | $15K | |
| 2022 | 831 | $28K | |
| 2023 | 1,134 | $28K | |
| 2024incomplete | 102 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 39% | 631 | 631 | $35K |
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 544 | 543 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 148 | 148 | $9K |
| D0274 | Bitewings - four radiographic images | 9.2% | 469 | 469 | $8K |
| D0210 | Intraoral - complete series of radiographic images | 8.5% | 186 | 186 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.4% | 1,285 | 578 | $5K |
| D1110 | Prophylaxis - adult | 1.6% | 18 | 18 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.5% | 23 | 12 | $1K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGRIGORYAN, MARIYA (DENTIST)
Parent organizationMARIYA GRIGORYAN DMD INC