Dental
Hesam Shahovesis Dmd,inc
Hesam Shahovesis Dmd,inc was paid $506K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 24% of everything it billed.
33Billing provider infoHESAM SHAHOVESIS DMD,INC
PICO RIVERA, CA 90660
PICO RIVERA, CA 90660
33aNPI1194935684assigned 05/23/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$506K
24GClaims16,148
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#878 of 2,668
Median peer was paid$173K
This provider vs. median2.9×
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 | 1,348 | $14K | |
| 2019 | 1,582 | $40K | |
| 2020 | 1,692 | $48K | |
| 2021 | 1,566 | $44K | |
| 2022 | 2,382 | $52K | |
| 2023 | 3,364 | $105K | |
| 2024incomplete | 4,214 | $204K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2751 | Crown - porcelain fused to predominantly base metal | 24% | 258 | 172 | $123K |
| D0150 | Comprehensive oral evaluation - new or established patient | 22% | 1,695 | 1,692 | $109K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.5% | 736 | 729 | $43K |
| D0210 | Intraoral - complete series of radiographic images | 8.4% | 925 | 924 | $43K |
| D9430 | 8.1% | 1,308 | 1,192 | $41K | |
| D0230 | Intraoral - periapical each additional radiographic image | 6.1% | 6,598 | 1,604 | $31K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.4% | 759 | 756 | $27K |
| D1206 | Topical application of fluoride varnish | 3.8% | 1,283 | 1,273 | $19K |
| D0274 | Bitewings - four radiographic images | 3.2% | 807 | 803 | $16K |
| D2954 | 2.7% | 131 | 89 | $14K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.6% | 69 | 37 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 657 | 607 | $8K |
8 more codes
| D1110 | Prophylaxis - adult | 1.5% | 94 | $8K |
| D4341 | 1.2% | 88 | $6K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 53 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 393 | $3K |
| D0350 | <1% | 134 | $1K | |
| D1351 | Sealant - per tooth | <1% | 56 | $1K |
| D0330 | Panoramic radiographic image | <1% | 49 | $690.00 |
| D0272 | Bitewings - two radiographic images | <1% | 55 | $330.00 |
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 officialSHAHOVEISI, HESAM (OWNER)