GRIGORYAN PROFESSIONAL DENTAL CORP
NPI: 1932534450
· UPLAND, CA 91786
· Dental Clinic/Center
· NPI assigned 09/04/2013
Provider Details
| Authorized Official | GRIGORYAN, VAHAN (OWNER/DENTIST) |
| NPI Enumeration Date | 09/04/2013 |
Related Entities
Other providers sharing the same authorized official: GRIGORYAN, VAHAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
40 |
$2K |
| 2021 |
232 |
$9K |
| 2022 |
28 |
$1K |
| 2023 |
24 |
$911.50 |
| 2024 |
53 |
$856.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
130 |
130 |
$9K |
| D0210 |
Intraoral - complete series of radiographic images |
70 |
70 |
$3K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
90 |
90 |
$974.50 |
| D9430 |
|
14 |
12 |
$448.00 |
| D1330 |
|
60 |
60 |
$0.00 |