MANUEL J OHANNESSIAN, DDS, INC
NPI: 1841444585
· SAN BERNARDINO, CA 92410
· 1223G0001X
$604K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,305 |
$122K |
| 2019 |
5,577 |
$68K |
| 2020 |
4,624 |
$66K |
| 2021 |
5,537 |
$78K |
| 2022 |
5,760 |
$115K |
| 2023 |
4,378 |
$83K |
| 2024 |
3,987 |
$72K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
2,854 |
2,830 |
$149K |
| D0230 |
|
23,239 |
4,586 |
$96K |
| D1120 |
|
2,499 |
2,480 |
$91K |
| D0274 |
|
2,892 |
2,864 |
$60K |
| D1208 |
|
3,549 |
3,521 |
$43K |
| D0150 |
|
703 |
703 |
$42K |
| D1110 |
|
307 |
307 |
$27K |
| D7210 |
|
214 |
111 |
$25K |
| D1351 |
|
776 |
187 |
$20K |
| D2150 |
|
283 |
159 |
$19K |
| D2751 |
|
17 |
12 |
$7K |
| D7140 |
|
90 |
44 |
$5K |
| D2140 |
|
86 |
54 |
$5K |
| D9430 |
|
86 |
86 |
$3K |
| D4341 |
|
51 |
14 |
$3K |
| D4910 |
|
25 |
25 |
$2K |
| D0272 |
|
164 |
164 |
$2K |
| D2392 |
|
29 |
26 |
$2K |
| D0350 |
|
177 |
80 |
$2K |
| D0220 |
|
71 |
71 |
$764.00 |
| D0210 |
|
12 |
12 |
$576.00 |
| D0330 |
|
17 |
17 |
$400.00 |
| D1330 |
|
14 |
14 |
$0.00 |
| D1310 |
|
13 |
13 |
$0.00 |