Clinic
Rafieyan Dental Corp
Rafieyan Dental Corp was paid $5K by Medicaid between Jan 2018 and Aug 2020, across 8 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 35% of everything it billed.
33Billing provider infoRAFIEYAN DENTAL CORP
PACOIMA, CA 91331
PACOIMA, CA 91331
33aNPI1235438672assigned 03/24/2011
33bProvider typeDental Clinic/Center
28Total paid$5K
24GClaims334
24DCodes billed8
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#1,034 of 1,135
Median peer was paid$200K
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 | 288 | $4K | |
| 2020 | 46 | $206.55 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 35% | 48 | 48 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 29 | 29 | $840.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 18% | 186 | 94 | $835.24 |
| D0210 | Intraoral - complete series of radiographic images | 11% | 13 | 13 | $520.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.5% | 13 | 13 | $252.00 |
| D0274 | Bitewings - four radiographic images | 4.7% | 12 | 12 | $216.00 |
| D1208 | Topical application of fluoride, excluding varnish | 3.7% | 18 | 18 | $170.00 |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 15 | 15 | $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.
From NPPES
Who's on the registration
Authorized officialRAFIEYAN, NAZAFARIN (DENTIST)