ARSHAK SARGSYAN DDS, INC
NPI: 1740041391
· GLENDALE, CA 91204
· Dental Clinic/Center
· NPI assigned 01/22/2024
$156K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
970 |
$156K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2740 |
Crown - porcelain/ceramic |
211 |
124 |
$100K |
| D2952 |
|
157 |
104 |
$16K |
| D4341 |
|
225 |
69 |
$16K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
199 |
199 |
$13K |
| D0210 |
Intraoral - complete series of radiographic images |
132 |
131 |
$6K |
| D1110 |
Prophylaxis - adult |
34 |
34 |
$3K |
| D4910 |
|
12 |
12 |
$924.00 |