LILI MIRTORABI D.D.S A PROFESSIONAL CORPORATION
NPI: 1053895565
· LOS ANGELES, CA 90006
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 09/20/2018
$837K
Total Medicaid Paid
Provider Details
| Authorized Official | VALDOVINOS, GABRIELA (MANAGING DIRECTOR) |
| Parent Organization | LILI MIRTORABI, D.D.S., M.S., A PROFESSIONAL CORPORATION |
| NPI Enumeration Date | 09/20/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
636 |
$23K |
| 2022 |
1,205 |
$155K |
| 2023 |
1,508 |
$340K |
| 2024 |
1,140 |
$319K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
1,620 |
1,603 |
$476K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
252 |
252 |
$264K |
| D0140 |
Limited oral evaluation - problem focused |
1,365 |
1,364 |
$43K |
| D0340 |
|
531 |
520 |
$25K |
| D0330 |
Panoramic radiographic image |
537 |
527 |
$15K |
| D0470 |
|
184 |
184 |
$13K |