Ambartsumyan, Hasmik

Ambartsumyan, Hasmik was paid $754K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 59% of everything it billed.

33Billing provider infoAMBARTSUMYAN, HASMIK
LOS ANGELES, CA 90027

33aNPI1891870796assigned 10/26/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$754K

24GClaims4,070

24DCodes billed14

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#694 of 2,668

Median peer was paid$173K

This provider vs. median4.4×

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	637	$29K
2019	254	$26K
2020	390	$70K
2021	298	$41K
2022	213	$30K
2023	969	$228K
2024incomplete	1,309	$330K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2751	Crown - porcelain fused to predominantly base metal	59%	938	339	$445K
D2952		12%	871	309	$90K
D3310		9.5%	238	90	$72K
D1110	Prophylaxis - adult	7.4%	724	721	$56K
D4341		4.5%	558	194	$34K
D3320		1.6%	34	24	$12K
D5750		1.6%	69	69	$12K
D0150	Comprehensive oral evaluation - new or established patient	1.1%	124	124	$8K
D5751		<1%	40	40	$7K
D3330	Endodontic therapy, molar tooth (excluding final restoration)	<1%	12	12	$5K
D0210	Intraoral - complete series of radiographic images	<1%	116	116	$5K
D7140	Extraction, erupted tooth or exposed root	<1%	57	24	$3K

2 more codes

D0120	Dental checkup, returning patient	<1%	234	$2K
D0230	Intraoral - periapical each additional radiographic image	<1%	55	$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.