Dental
Natalie Derboghossians DDS INC
Natalie Derboghossians DDS INC was paid $407K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is D0120, dental checkup, returning patient — 28% of everything it billed.
33Billing provider infoNATALIE DERBOGHOSSIANS DDS INC
ALTADENA, CA 91001
ALTADENA, CA 91001
33aNPI1497195887assigned 06/28/2013
33bProvider typeDentist
28Total paid$407K
24GClaims16,296
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#855 of 2,314
Median peer was paid$185K
This provider vs. median2.2×
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 | 2,300 | $63K | |
| 2019 | 2,729 | $79K | |
| 2020 | 2,020 | $49K | |
| 2021 | 2,306 | $49K | |
| 2022 | 2,434 | $65K | |
| 2023 | 2,169 | $56K | |
| 2024incomplete | 2,338 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 1,813 | 1,791 | $113K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 1,595 | 1,578 | $61K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 804 | 417 | $54K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.0% | 624 | 621 | $37K |
| D1110 | Prophylaxis - adult | 7.4% | 343 | 343 | $30K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.8% | 6,843 | 2,282 | $28K |
| D0272 | Bitewings - two radiographic images | 5.2% | 1,796 | 1,775 | $21K |
| D0210 | Intraoral - complete series of radiographic images | 4.2% | 389 | 386 | $17K |
| D1206 | Topical application of fluoride varnish | 2.7% | 864 | 861 | $11K |
| D9430 | 2.3% | 296 | 278 | $9K | |
| D4910 | 1.8% | 94 | 94 | $7K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.1% | 461 | 454 | $5K |
8 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 44 | $4K |
| D9993 | <1% | 53 | $3K | |
| D1310 | <1% | 53 | $2K | |
| D4341 | <1% | 33 | $2K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 27 | $1K |
| D1351 | Sealant - per tooth | <1% | 38 | $836.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 41 | $492.00 |
| D0350 | <1% | 85 | $399.60 |
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 officialDERBOGHOSSIANS, NATALIE (DENTIST/OWNER)