Dental
Ekhtiar, Maryam
Ekhtiar, Maryam was paid $6K by Medicaid between Feb 2018 and Sep 2019, across 4 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 78% of everything it billed.
33Billing provider infoEKHTIAR, MARYAM
SAN JUAN CAPISTRANO, CA 92675
SAN JUAN CAPISTRANO, CA 92675
33aNPI1093928632assigned 05/08/2007
33bProvider typeDentist
28Total paid$6K
24GClaims157
24DCodes billed4
24AFirst – last monthFeb 2018 – Sep 2019
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,964 of 2,314
Median peer was paid$185K
This provider vs. median0.0×
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 | 83 | $3K | |
| 2019 | 74 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 78% | 93 | 92 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 18% | 28 | 28 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 2.0% | 12 | 12 | $123.50 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.7% | 24 | 12 | $105.30 |
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.