Martirosov, Sofia

Martirosov, Sofia was paid $13K by Medicaid between Jan 2018 and Sep 2020, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 42% of everything it billed.

33Billing provider infoMARTIROSOV, SOFIA
STAMFORD, CT 06901

33aNPI1407992753assigned 01/30/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$13K

24GClaims1,043

24DCodes billed5

24AFirst – last monthJan 2018 – Sep 2020

Compared with peers

Next to other General Practice Dentistry providers in Connecticut

Rank by total paid#297 of 431

Median peer was paid$79K

This provider vs. median0.2×

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	384	$5K
2019	480	$6K
2020	179	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	42%	271	271	$5K
D1110	Prophylaxis - adult	24%	153	153	$3K
D0230	Intraoral - periapical each additional radiographic image	19%	242	242	$2K
D0220	Intraoral - periapical first radiographic image	8.8%	283	283	$1K
D0274	Bitewings - four radiographic images	6.6%	94	94	$846.00

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.