Dental
Ajandeh, Sean
Ajandeh, Sean was paid $66K by Medicaid between Jan 2018 and Jun 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoAJANDEH, SEAN
MANASSAS PARK, VA 20111
MANASSAS PARK, VA 20111
33aNPI1245376466assigned 01/29/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$66K
24GClaims4,128
24DCodes billed8
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#225 of 549
Median peer was paid$29K
This provider vs. median2.3×
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 | 383 | $9K | |
| 2019 | 219 | $3K | |
| 2020 | 245 | $4K | |
| 2021 | 550 | $11K | |
| 2022 | 1,123 | $29K | |
| 2023 | 1,145 | $11K | |
| 2024incomplete | 463 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 530 | 512 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 790 | 764 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 13% | 984 | 936 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 488 | 470 | $8K |
| D0274 | Bitewings - four radiographic images | 13% | 425 | 410 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.3% | 717 | 688 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.3% | 153 | 153 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 41 | 41 | $2K |
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.