NIGOGHOSIAN & NIGOGHOSIAN DDS INC
NPI: 1912452251
· UPLAND, CA 91786
· Dental Clinic/Center
· NPI assigned 08/16/2016
$222K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: NIGOGHOSIAN, JOHNNY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$787.00 |
| 2020 |
174 |
$10K |
| 2021 |
1,109 |
$43K |
| 2022 |
1,341 |
$43K |
| 2023 |
2,811 |
$60K |
| 2024 |
2,953 |
$65K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,396 |
1,391 |
$91K |
| D0210 |
Intraoral - complete series of radiographic images |
1,211 |
1,208 |
$57K |
| D9430 |
|
764 |
690 |
$24K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
228 |
147 |
$15K |
| D0350 |
|
2,922 |
851 |
$14K |
| D4341 |
|
90 |
25 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,272 |
463 |
$5K |
| D1320 |
|
235 |
235 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
109 |
105 |
$1K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$1K |
| D0274 |
Bitewings - four radiographic images |
38 |
36 |
$734.40 |
| D1206 |
Topical application of fluoride varnish |
39 |
39 |
$620.00 |
| D0330 |
Panoramic radiographic image |
36 |
36 |
$60.00 |
| D1310 |
|
35 |
35 |
$0.00 |