Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Glendale › NPI 1952675977
Dental

Mirzoyan Dental Corporation

Mirzoyan Dental Corporation was paid $409K by Medicaid between Nov 2020 and Dec 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.

33Billing provider infoMIRZOYAN DENTAL CORPORATION
GLENDALE, CA 91202
33aNPI1952675977assigned 03/08/2012
28Total paid$409K
24GClaims10,155
24DCodes billed16
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#973 of 2,668
Median peer was paid$173K
This provider vs. median2.4×

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$10K$20K2018201920202021202220232024
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
2020169$10K
20211,873$96K
20222,806$104K
20233,552$110K
2024incomplete1,755$88K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 26% 1,206 1,193 $108K
D0150 Comprehensive oral evaluation - new or established patient 20% 1,230 1,219 $81K
D0210 Intraoral - complete series of radiographic images 10% 868 868 $41K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 8.4% 428 426 $34K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 7.1% 366 192 $29K
D2740 Crown - porcelain/ceramic 6.6% 57 42 $27K
D1206 Topical application of fluoride varnish 5.6% 1,357 1,342 $23K
D2394 3.9% 192 101 $16K
D4341 3.7% 214 57 $15K
D0230 Intraoral - periapical each additional radiographic image 3.5% 3,699 574 $14K
D0274 Bitewings - four radiographic images 1.5% 281 280 $6K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.5% 89 42 $6K
4 more codes
D4910 1.3% 70 $5K
D1120 Dental cleaning, child <1% 39 $1K
D1208 Topical application of fluoride, excluding varnish <1% 34 $474.00
D0220 Intraoral - periapical first radiographic image <1% 25 $300.00

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 officialMIRZOYAN, LILIT (CEO)