Clinic
Armen Mardirosian DDS INC.
Armen Mardirosian DDS INC. was paid $62K by Medicaid between Jan 2018 and Aug 2024, across 11 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 36% of everything it billed.
33Billing provider infoARMEN MARDIROSIAN DDS INC.
POMONA, CA 91766
POMONA, CA 91766
33aNPI1982058855assigned 04/18/2016
33bProvider typeDental Clinic/Center
28Total paid$62K
24GClaims2,369
24DCodes billed11
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#759 of 1,135
Median peer was paid$200K
This provider vs. median0.3×
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 | 276 | $9K | |
| 2019 | 281 | $12K | |
| 2020 | 300 | $9K | |
| 2021 | 339 | $6K | |
| 2022 | 483 | $12K | |
| 2023 | 488 | $11K | |
| 2024incomplete | 202 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 36% | 407 | 406 | $23K |
| D9430 | 28% | 574 | 505 | $18K | |
| D0210 | Intraoral - complete series of radiographic images | 17% | 261 | 261 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.2% | 50 | 50 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.8% | 785 | 230 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 3.0% | 188 | 188 | $2K |
| D4910 | 2.9% | 24 | 24 | $2K | |
| D1120 | Dental cleaning, childProphylaxis - child | 1.9% | 37 | 37 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12 | 12 | $120.00 |
| D0270 | <1% | 13 | 12 | $65.00 | |
| D1330 | 0% | 18 | 18 | $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.
From NPPES
Who's on the registration
Authorized officialMARDIROSIAN, ARMEN (PRESIDENT)