Dental
Dastmalchian, Shabnam
Dastmalchian, Shabnam was paid $124K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 24% of everything it billed.
33Billing provider infoDASTMALCHIAN, SHABNAM
SAN FERNANDO, CA 91340
SAN FERNANDO, CA 91340
33aNPI1023221850assigned 05/08/2007
33bProvider typeDentist
28Total paid$124K
24GClaims4,523
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,285 of 2,314
Median peer was paid$185K
This provider vs. median0.7×
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 | 993 | $22K | |
| 2019 | 558 | $10K | |
| 2020 | 464 | $14K | |
| 2021 | 530 | $17K | |
| 2022 | 624 | $20K | |
| 2023 | 705 | $19K | |
| 2024incomplete | 649 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 562 | 561 | $30K |
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 373 | 372 | $21K |
| D0210 | Intraoral - complete series of radiographic images | 15% | 424 | 422 | $19K |
| D1110 | Prophylaxis - adult | 14% | 230 | 229 | $17K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 1,343 | 1,341 | $16K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.7% | 202 | 202 | $7K |
| D0274 | Bitewings - four radiographic images | 4.8% | 329 | 328 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 1,006 | 558 | $4K |
| D4341 | 2.4% | 42 | 12 | $3K | |
| D4910 | <1% | 12 | 12 | $924.00 |
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.