Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Glendale › NPI 1417483082
Dental

Misak Mikayelyan DDS INC

Misak Mikayelyan DDS INC was paid $759K by Medicaid between Apr 2018 and Dec 2024, across 16 billing codes. Its largest line is D5750, — 19% of everything it billed.

33Billing provider infoMISAK MIKAYELYAN DDS INC
GLENDALE, CA 91204
33aNPI1417483082assigned 05/02/2017
33bProvider typeDentist
28Total paid$759K
24GClaims10,354
24DCodes billed16
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers

Next to other Dentist providers in California

Rank by total paid#613 of 2,314
Median peer was paid$185K
This provider vs. median4.1×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
201866$3K
2019367$15K
20201,054$37K
20211,741$117K
20222,012$153K
20232,443$206K
2024incomplete2,671$227K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D5750 19% 733 730 $143K
D5751 16% 609 609 $119K
D0150 Comprehensive oral evaluation - new or established patient 14% 1,672 1,669 $109K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 13% 1,359 1,344 $102K
D1110 Prophylaxis - adult 13% 1,103 1,092 $98K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 10% 664 250 $77K
D0210 Intraoral - complete series of radiographic images 3.8% 625 619 $29K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2.9% 334 211 $22K
D1206 Topical application of fluoride varnish 1.9% 827 815 $14K
D9430 1.8% 423 423 $14K
D4910 1.2% 121 121 $9K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1.2% 112 80 $9K
4 more codes
D0230 Intraoral - periapical each additional radiographic image <1% 1,455 $7K
D0220 Intraoral - periapical first radiographic image <1% 290 $3K
D5850 <1% 15 $1K
D5851 <1% 12 $840.00

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 officialMIKAYELYAN, MISAK (OWNER/DDS)