SARMICANIC, MARIAM
NPI: 1982726196
· BURBANK, CA 91501
· General Practice Dentistry
· NPI assigned 04/06/2007
$126K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
965 |
$22K |
| 2019 |
708 |
$18K |
| 2020 |
657 |
$17K |
| 2021 |
1,006 |
$21K |
| 2022 |
819 |
$18K |
| 2023 |
725 |
$18K |
| 2024 |
690 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
652 |
647 |
$55K |
| D0120 |
Periodic oral evaluation - established patient |
250 |
247 |
$16K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
227 |
227 |
$13K |
| D0350 |
|
1,730 |
1,644 |
$12K |
| D0220 |
Intraoral - periapical first radiographic image |
742 |
721 |
$9K |
| D0210 |
Intraoral - complete series of radiographic images |
206 |
206 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,405 |
786 |
$6K |
| D0330 |
Panoramic radiographic image |
146 |
139 |
$4K |
| D9430 |
|
55 |
55 |
$2K |
| D0274 |
Bitewings - four radiographic images |
40 |
40 |
$864.00 |
| D0270 |
|
41 |
40 |
$205.00 |
| D0460 |
|
76 |
74 |
$0.00 |