Dental
Lili Mirtorabi D.D.S a Professional Corporation
Lili Mirtorabi D.D.S a Professional Corporation was paid $837K by Medicaid between Jun 2021 and Oct 2024, across 6 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 57% of everything it billed.
33Billing provider infoLILI MIRTORABI D.D.S A PROFESSIONAL CORPORATION
LOS ANGELES, CA 90006
LOS ANGELES, CA 90006
33aNPI1053895565assigned 09/20/2018
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$837K
24GClaims4,489
24DCodes billed6
24AFirst – last monthJun 2021 – Oct 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in California
Rank by total paid#87 of 251
Median peer was paid$303K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2021 | 636 | $23K | |
| 2022 | 1,205 | $155K | |
| 2023 | 1,508 | $340K | |
| 2024incomplete | 1,140 | $319K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 57% | 1,620 | 1,603 | $476K |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 32% | 252 | 252 | $264K |
| D0140 | Limited oral evaluation - problem focused | 5.2% | 1,365 | 1,364 | $43K |
| D0340 | 3.0% | 531 | 520 | $25K | |
| D0330 | Panoramic radiographic image | 1.9% | 537 | 527 | $15K |
| D0470 | 1.6% | 184 | 184 | $13K |
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 officialVALDOVINOS, GABRIELA (MANAGING DIRECTOR)
Parent organizationLILI MIRTORABI, D.D.S., M.S., A PROFESSIONAL CORPORATION