Clinic
Salina Mahgerefteh DDS INC
Salina Mahgerefteh DDS INC was paid $92K by Medicaid between Jun 2021 and Oct 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.
33Billing provider infoSALINA MAHGEREFTEH DDS INC
BEVERLY HILLS, CA 90210
BEVERLY HILLS, CA 90210
33aNPI1184205304assigned 04/19/2021
33bProvider typeDental Clinic/Center
28Total paid$92K
24GClaims4,931
24DCodes billed11
24AFirst – last monthJun 2021 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#699 of 1,135
Median peer was paid$200K
This provider vs. median0.5×
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 | 1,674 | $38K | |
| 2022 | 1,040 | $24K | |
| 2023 | 1,249 | $15K | |
| 2024incomplete | 968 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 34% | 378 | 378 | $31K |
| D0150 | Comprehensive oral evaluation - new or established patient | 27% | 373 | 373 | $25K |
| D0230 | Intraoral - periapical each additional radiographic image | 15% | 3,298 | 699 | $14K |
| D4341 | 6.5% | 86 | 26 | $6K | |
| D4910 | 6.2% | 75 | 74 | $6K | |
| D1208 | Topical application of fluoride, excluding varnish | 5.7% | 379 | 378 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 190 | 180 | $2K |
| D0272 | Bitewings - two radiographic images | 1.3% | 101 | 100 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 12 | 12 | $870.00 |
| D0274 | Bitewings - four radiographic images | <1% | 27 | 27 | $583.20 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | 12 | $576.00 |
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 officialMAHGEREFTEH, SALINA (OWNER DDS)