Dental
Roya Mahmoodi DDS, INC
Roya Mahmoodi DDS, INC was paid $310K by Medicaid between Feb 2021 and Dec 2024, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 31% of everything it billed.
33Billing provider infoROYA MAHMOODI DDS, INC
SAN RAMON, CA 94583
SAN RAMON, CA 94583
33aNPI1174160501assigned 12/04/2019
33bProvider typePediatric Dentist
28Total paid$310K
24GClaims7,867
24DCodes billed13
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#192 of 332
Median peer was paid$450K
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 | |
|---|---|---|---|
| 2021 | 527 | $16K | |
| 2022 | 1,313 | $51K | |
| 2023 | 2,887 | $114K | |
| 2024incomplete | 3,140 | $128K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 31% | 1,901 | 1,892 | $95K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 1,027 | 1,021 | $73K |
| D1310 | 14% | 944 | 938 | $43K | |
| D1206 | Topical application of fluoride varnish | 12% | 1,888 | 1,881 | $39K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.9% | 355 | 354 | $24K |
| D0603 | 4.5% | 931 | 924 | $14K | |
| D0145 | Oral evaluation for a patient under three years of age | 2.3% | 95 | 95 | $7K |
| D0272 | Bitewings - two radiographic images | 1.9% | 493 | 486 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.5% | 115 | 108 | $5K |
| D9993 | 1.2% | 56 | 56 | $4K | |
| D9430 | <1% | 14 | 12 | $448.00 | |
| D0240 | <1% | 24 | 12 | $240.00 |
1 more codes
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 24 | $97.20 |
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 officialMAHMOODI, ROYA (OWNER)