Clinic
Grigoryan Professional Dental Corp
Grigoryan Professional Dental Corp was paid $15K by Medicaid between Dec 2020 and Oct 2024, across 6 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 59% of everything it billed.
33Billing provider infoGRIGORYAN PROFESSIONAL DENTAL CORP
UPLAND, CA 91786
UPLAND, CA 91786
33aNPI1932534450assigned 09/04/2013
33bProvider typeDental Clinic/Center
28Total paid$15K
24GClaims377
24DCodes billed6
24AFirst – last monthDec 2020 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#926 of 1,135
Median peer was paid$200K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2020 | 40 | $2K | |
| 2021 | 232 | $9K | |
| 2022 | 28 | $1K | |
| 2023 | 24 | $911.50 | |
| 2024incomplete | 53 | $856.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 59% | 130 | 130 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 23% | 70 | 70 | $3K |
| D1110 | Prophylaxis - adult | 8.1% | 13 | 13 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 6.7% | 90 | 90 | $974.50 |
| D9430 | 3.1% | 14 | 12 | $448.00 | |
| D1330 | 0% | 60 | 60 | $0.00 |
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 officialGRIGORYAN, VAHAN (OWNER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Vahan Grigoryan, DDS, INC. | Fontana, CA | $423K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.