Dental
Moayedi, Mina
Moayedi, Mina was paid $795.00 by Medicaid between Mar 2018 and Jul 2019, across 3 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 57% of everything it billed.
33Billing provider infoMOAYEDI, MINA
CULVER CITY, CA 90232
CULVER CITY, CA 90232
33aNPI1225185861assigned 01/05/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$795.00
24GClaims45
24DCodes billed3
24AFirst – last monthMar 2018 – Jul 2019
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,530 of 2,668
Median peer was paid$173K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2018 | 29 | $605.00 | |
| 2019 | 16 | $190.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 57% | 14 | 14 | $455.00 |
| D1208 | Topical application of fluoride, excluding varnish | 24% | 16 | 16 | $190.00 |
| D0220 | Intraoral - periapical first radiographic image | 19% | 15 | 14 | $150.00 |
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.