Managed care
Rezvani
Rezvani was paid $1.67M by Medicaid between Nov 2020 and Sep 2024, across 19 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 22% of everything it billed.
33Billing provider infoREZVANI
JERSEY VILLAGE, TX 77040
JERSEY VILLAGE, TX 77040
33aNPI1205204807assigned 09/13/2015
33bProvider typePreferred Provider Organization
28Total paid$1.67M
24GClaims59,071
24DCodes billed19
24AFirst – last monthNov 2020 – Sep 2024
Compared with peers
Next to other Preferred Provider Organization providers in Texas
Rank by total paid#7 of 32
Median peer was paid$168K
This provider vs. median10.0×
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 | |
|---|---|---|---|
| 2020 | 1,909 | $49K | |
| 2021 | 19,258 | $557K | |
| 2022 | 16,755 | $471K | |
| 2023 | 16,913 | $485K | |
| 2024incomplete | 4,236 | $107K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 22% | 4,736 | 1,633 | $365K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 2,273 | 1,253 | $216K |
| D1351 | Sealant - per tooth | 11% | 7,191 | 2,127 | $190K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.1% | 3,317 | 3,261 | $119K |
| D1110 | Prophylaxis - adult | 6.9% | 2,121 | 2,101 | $114K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.4% | 3,786 | 3,749 | $107K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.6% | 11,955 | 4,588 | $93K |
| D0274 | Bitewings - four radiographic images | 5.1% | 2,512 | 2,487 | $85K |
| D0145 | Oral evaluation for a patient under three years of age | 4.7% | 573 | 562 | $79K |
| D1208 | Topical application of fluoride, excluding varnish | 4.7% | 5,441 | 5,366 | $78K |
| D0210 | Intraoral - complete series of radiographic images | 4.3% | 1,124 | 1,106 | $72K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 1,675 | 1,631 | $56K |
7 more codes
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 4,764 | $54K |
| D0272 | Bitewings - two radiographic images | 1.9% | 1,681 | $32K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 124 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 19 | $2K |
| D1352 | <1% | 85 | $1K | |
| D0603 | 0% | 5,520 | $0.00 | |
| D0602 | 0% | 174 | $0.00 |
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 officialREZVANI, SHABNAM (OWNER)