ARMEN MARDIROSIAN DDS INC.
NPI: 1982058855
· POMONA, CA 91766
· Dental Clinic/Center
· NPI assigned 04/18/2016
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
276 |
$9K |
| 2019 |
281 |
$12K |
| 2020 |
300 |
$9K |
| 2021 |
339 |
$6K |
| 2022 |
483 |
$12K |
| 2023 |
488 |
$11K |
| 2024 |
202 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
407 |
406 |
$23K |
| D9430 |
|
574 |
505 |
$18K |
| D0210 |
Intraoral - complete series of radiographic images |
261 |
261 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
50 |
50 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
785 |
230 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
188 |
188 |
$2K |
| D4910 |
|
24 |
24 |
$2K |
| D1120 |
Prophylaxis - child |
37 |
37 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$120.00 |
| D0270 |
|
13 |
12 |
$65.00 |
| D1330 |
|
18 |
18 |
$0.00 |