Mardirosian, Armen

Mardirosian, Armen was paid $27K by Medicaid between Sep 2021 and Jul 2024, across 12 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 27% of everything it billed.

33Billing provider infoMARDIROSIAN, ARMEN
POMONA, CA 91766

33aNPI1861632010assigned 03/01/2009

33bProvider typeGeneral Practice Dentistry

28Total paid$27K

24GClaims944

24DCodes billed12

24AFirst – last monthSep 2021 – Jul 2024

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#1,963 of 2,668

Median peer was paid$173K

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
2021	111	$2K
2022	285	$8K
2023	251	$9K
2024incomplete	297	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1208	Topical application of fluoride, excluding varnish	27%	277	277	$7K
D1120	Dental cleaning, childProphylaxis - child	26%	200	200	$7K
D0150	Comprehensive oral evaluation - new or established patient	16%	85	85	$4K
D9999	Unspecified adjunctive procedure, by report	12%	26	26	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	10%	63	63	$3K
D0210	Intraoral - complete series of radiographic images	4.2%	50	50	$1K
D0230	Intraoral - periapical each additional radiographic image	2.1%	64	64	$570.45
D0220	Intraoral - periapical first radiographic image	1.6%	111	111	$435.00
D1310		<1%	13	13	$184.00
D0274	Bitewings - four radiographic images	<1%	13	13	$108.00
D0601		<1%	30	30	$78.00
D9993		0%	12	12	$0.00

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.