Amir R Fereydouni DMD Professional Corporation

Amir R Fereydouni DMD Professional Corporation was paid $325K by Medicaid between Jan 2018 and Mar 2021, across 19 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 57% of everything it billed.

33Billing provider infoAMIR R FEREYDOUNI DMD PROFESSIONAL CORPORATION
LITTLETON, CO 80120

33aNPI1043368343assigned 01/05/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$325K

24GClaims4,993

24DCodes billed19

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other General Practice Dentistry providers in Colorado

Rank by total paid#148 of 521

Median peer was paid$53K

This provider vs. median6.2×

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	1,673	$87K
2019	1,433	$107K
2020	1,784	$128K
2021	103	$4K

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	57%	1,762	399	$184K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	15%	372	176	$50K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	5.0%	634	624	$16K
D1120	Dental cleaning, childProphylaxis - child	4.0%	372	367	$13K
D1110	Prophylaxis - adult	3.9%	302	290	$13K
D1206	Topical application of fluoride varnish	3.4%	584	570	$11K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	2.3%	45	26	$7K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	2.1%	226	210	$7K
D0274	Bitewings - four radiographic images	1.8%	188	184	$6K
D2330		1.5%	49	25	$5K
D0150	Comprehensive oral evaluation - new or established patient	<1%	70	70	$3K
D0210	Intraoral - complete series of radiographic images	<1%	44	44	$2K

7 more codes

D3120		<1%	51	$2K
D0330	Panoramic radiographic image	<1%	32	$2K
D1208	Topical application of fluoride, excluding varnish	<1%	56	$1K
D1351	Sealant - per tooth	<1%	37	$1K
D0272	Bitewings - two radiographic images	<1%	52	$1K
D0220	Intraoral - periapical first radiographic image	<1%	79	$935.28
D0230	Intraoral - periapical each additional radiographic image	<1%	38	$443.18

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 officialSHAFFER, MEGAN (OFFICE MANAGER)