HAROUT V GOSTANIAN DDS, MSD, PC
NPI: 1912118878
· HENDERSON, NV 89014
· Pediatric Dentist
· NPI assigned 05/24/2007
$128K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
860 |
$17K |
| 2019 |
1,105 |
$25K |
| 2020 |
588 |
$12K |
| 2021 |
834 |
$19K |
| 2022 |
727 |
$19K |
| 2023 |
822 |
$17K |
| 2024 |
876 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,344 |
1,108 |
$55K |
| D1206 |
Topical application of fluoride varnish |
1,077 |
906 |
$38K |
| D0272 |
Bitewings - two radiographic images |
752 |
612 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
469 |
407 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
699 |
571 |
$6K |
| D0160 |
|
113 |
89 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
655 |
346 |
$3K |
| D0240 |
|
662 |
538 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
18 |
14 |
$290.40 |
| D1208 |
Topical application of fluoride, excluding varnish |
23 |
16 |
$163.84 |