Dental
Derhartounian Dental Corporation
Derhartounian Dental Corporation was paid $11K by Medicaid between Jul 2018 and Nov 2024, across 8 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 36% of everything it billed.
33Billing provider infoDERHARTOUNIAN DENTAL CORPORATION
MONTEBELLO, CA 90640
MONTEBELLO, CA 90640
33aNPI1033251970assigned 02/13/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$11K
24GClaims425
24DCodes billed8
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,154 of 2,668
Median peer was paid$173K
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 | |
|---|---|---|---|
| 2018 | 43 | $2K | |
| 2019 | 24 | $1K | |
| 2020 | 26 | $1K | |
| 2022 | 102 | $3K | |
| 2023 | 13 | $924.00 | |
| 2024incomplete | 217 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 36% | 66 | 66 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 19% | 53 | 53 | $2K |
| D4910 | 16% | 25 | 25 | $2K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 13 | 13 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.7% | 168 | 36 | $753.30 |
| D1206 | Topical application of fluoride varnish | 5.7% | 42 | 42 | $648.00 |
| D0350 | 3.7% | 46 | 14 | $412.80 | |
| D0274 | Bitewings - four radiographic images | 1.9% | 12 | 12 | $216.00 |
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 officialDERHARTOUNIAN, HARMIK (PRESIDENT,CEO)
| Provider | Location | Paid |
|---|---|---|
| Derhartounian Dental Corporation | North Hollywood, CA | $978K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.