Hesaraki, Arezo

Hesaraki, Arezo was paid $7K by Medicaid between May 2018 and Nov 2019, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 42% of everything it billed.

33Billing provider infoHESARAKI, AREZO
OAK GROVE, MO 64075

33aNPI1174928857assigned 10/23/2014

33bProvider typeGeneral Practice Dentistry

28Total paid$7K

24GClaims190

24DCodes billed4

24AFirst – last monthMay 2018 – Nov 2019

Compared with peers

Next to other General Practice Dentistry providers in Missouri

Rank by total paid#213 of 260

Median peer was paid$78K

This provider vs. median0.1×

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	76	$4K
2019	114	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	42%	68	68	$3K
D0150	Comprehensive oral evaluation - new or established patient	25%	34	34	$2K
D1206	Topical application of fluoride varnish	18%	55	55	$1K
D0272	Bitewings - two radiographic images	15%	33	33	$1K

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.