Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Spartak Delakyan D.D.S., INC.

Spartak Delakyan D.D.S., INC. was paid $416K by Medicaid between Jan 2018 and Mar 2023, across 13 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 24% of everything it billed.

33Billing provider infoSPARTAK DELAKYAN D.D.S., INC.
MONTEBELLO, CA 90640
33aNPI1922418599assigned 05/05/2014
33bProvider typeDentist
28Total paid$416K
24GClaims16,310
24DCodes billed13
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers

Next to other Dentist providers in California

Rank by total paid#848 of 2,314
Median peer was paid$185K
This provider vs. median2.2×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20181,555$24K
20192,733$83K
20202,609$88K
20214,730$124K
20224,004$86K
2023679$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 24% 1,551 1,550 $99K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 19% 1,211 555 $81K
D0210 Intraoral - complete series of radiographic images 12% 1,077 1,075 $51K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 11% 875 871 $45K
D0230 Intraoral - periapical each additional radiographic image 7.9% 7,968 1,553 $33K
D1110 Prophylaxis - adult 7.0% 333 333 $29K
D1120 Dental cleaning, childProphylaxis - child 5.4% 619 616 $22K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4.0% 306 208 $16K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 2.9% 152 101 $12K
D0272 Bitewings - two radiographic images 2.9% 1,012 1,010 $12K
D1208 Topical application of fluoride, excluding varnish 2.6% 779 779 $11K
D1206 Topical application of fluoride varnish <1% 279 277 $3K
1 more codes
D0220 Intraoral - periapical first radiographic image <1% 148 $2K

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.

From NPPES

Who's on the registration

Authorized officialDELAKYAN, SPARTAK (DENTIST/OWNER)