LILI MIRTORABI, D.D.S., A PROFESSIONAL CORPORATION
NPI: 1497955363
· SANTA ANA, CA 92705
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 07/19/2007
$4.24M
Total Medicaid Paid
Provider Details
| Authorized Official | MIRTORABI, LILI (SUPERVISOR) |
| Parent Organization | LILI MIRTORABIDDSMS A PROFESSIONAL CORPORATION |
| NPI Enumeration Date | 07/19/2007 |
Related Entities
Other providers sharing the same authorized official: MIRTORABI, LILI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
4,678 |
$904K |
| 2019 |
3,689 |
$742K |
| 2020 |
3,103 |
$557K |
| 2021 |
3,119 |
$634K |
| 2022 |
2,916 |
$556K |
| 2023 |
2,154 |
$534K |
| 2024 |
1,288 |
$313K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
11,719 |
11,657 |
$3.36M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
321 |
321 |
$320K |
| D8680 |
|
897 |
449 |
$281K |
| D0140 |
Limited oral evaluation - problem focused |
5,055 |
5,040 |
$157K |
| D0340 |
|
1,272 |
1,249 |
$61K |
| D0330 |
Panoramic radiographic image |
1,382 |
1,353 |
$39K |
| D0470 |
|
301 |
301 |
$22K |