Clinic
S. Shaun Daneshgar DMD INC
S. Shaun Daneshgar DMD INC was paid $192K by Medicaid between Feb 2022 and Dec 2024, across 14 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 24% of everything it billed.
33Billing provider infoS. SHAUN DANESHGAR DMD INC
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
33aNPI1215605845assigned 08/30/2021
33bProvider typeDental Clinic/Center
28Total paid$192K
24GClaims4,241
24DCodes billed14
24AFirst – last monthFeb 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#578 of 1,135
Median peer was paid$200K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2022 | 324 | $14K | |
| 2023 | 1,158 | $54K | |
| 2024incomplete | 2,759 | $124K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 24% | 710 | 705 | $47K |
| D0210 | Intraoral - complete series of radiographic images | 12% | 506 | 505 | $24K |
| D9430 | 12% | 724 | 635 | $23K | |
| D1110 | Prophylaxis - adult | 12% | 268 | 267 | $22K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.9% | 254 | 143 | $17K |
| D2751 | Crown - porcelain fused to predominantly base metal | 8.7% | 35 | 24 | $17K |
| D1320 | 6.6% | 794 | 787 | $13K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.7% | 167 | 76 | $9K |
| D1206 | Topical application of fluoride varnish | 4.0% | 465 | 465 | $8K |
| D4341 | 2.8% | 78 | 20 | $5K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.2% | 36 | 12 | $4K |
| D0350 | <1% | 156 | 61 | $2K |
2 more codes
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 officialDANESHGAR, MICHAEL (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| S. Shaun Daneshgar DMD INC | Huntington Park, CA | $587K |
| S Shaun Daneshgar DMD INC | Pacoima, CA | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.