LILI MIRTORABI D.D.S., A PROFESSIONAL CORPORATION
NPI: 1912104894
· HUNTINGTON PARK, CA 90255
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 07/02/2007
$6.23M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: MIRTORABI, LILI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
5,885 |
$1.05M |
| 2019 |
5,646 |
$1.09M |
| 2020 |
3,752 |
$713K |
| 2021 |
4,054 |
$827K |
| 2022 |
4,383 |
$957K |
| 2023 |
4,562 |
$891K |
| 2024 |
3,530 |
$711K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
16,235 |
16,182 |
$4.65M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
807 |
801 |
$815K |
| D0140 |
Limited oral evaluation - problem focused |
10,901 |
10,859 |
$344K |
| D8680 |
|
922 |
463 |
$289K |
| D0340 |
|
1,214 |
1,195 |
$59K |
| D0470 |
|
605 |
601 |
$45K |
| D0330 |
Panoramic radiographic image |
1,128 |
1,109 |
$33K |