Dental
Edvin Agadzhanov DDS INC
Edvin Agadzhanov DDS INC was paid $137K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 23% of everything it billed.
33Billing provider infoEDVIN AGADZHANOV DDS INC
CANYON COUNTRY, CA 91351
CANYON COUNTRY, CA 91351
33aNPI1356655765assigned 07/28/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$137K
24GClaims5,083
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,423 of 2,668
Median peer was paid$173K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2018 | 175 | $4K | |
| 2019 | 133 | $4K | |
| 2020 | 616 | $23K | |
| 2021 | 610 | $11K | |
| 2022 | 1,048 | $37K | |
| 2023 | 1,534 | $34K | |
| 2024incomplete | 967 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 494 | 493 | $31K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 314 | 78 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 293 | 293 | $19K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 343 | 343 | $15K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.8% | 332 | 329 | $13K |
| D1206 | Topical application of fluoride varnish | 6.9% | 722 | 719 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.3% | 2,107 | 556 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 100 | 26 | $5K |
| D4910 | 3.8% | 70 | 69 | $5K | |
| D0274 | Bitewings - four radiographic images | 3.7% | 246 | 242 | $5K |
| D2330 | 2.8% | 50 | 12 | $4K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 12 | 12 | $118.00 |
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 officialAGADZHANOV, EDVIN (CEO)