Dental
Mahdavi Dental Corporation
Mahdavi Dental Corporation was paid $65K by Medicaid between Feb 2019 and Apr 2022, across 11 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 18% of everything it billed.
33Billing provider infoMAHDAVI DENTAL CORPORATION
NORTH HILLS, CA 91343
NORTH HILLS, CA 91343
33aNPI1033623970assigned 11/30/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$65K
24GClaims2,990
24DCodes billed11
24AFirst – last monthFeb 2019 – Apr 2022
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,703 of 2,668
Median peer was paid$173K
This provider vs. median0.4×
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
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 | |
|---|---|---|---|
| 2019 | 831 | $28K | |
| 2020 | 625 | $10K | |
| 2021 | 1,177 | $20K | |
| 2022 | 357 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 18% | 213 | 93 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 161 | 161 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 208 | 208 | $9K |
| D9430 | 13% | 271 | 244 | $9K | |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 202 | 202 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 7.4% | 400 | 356 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.3% | 1,162 | 214 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 5.8% | 79 | 79 | $4K |
| D0274 | Bitewings - four radiographic images | 4.5% | 138 | 138 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 2.2% | 144 | 143 | $1K |
| D4910 | 1.3% | 12 | 12 | $847.00 |
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 officialMAHDAVI, ELHAM (PRESIDENT/OWNER)