Dental
Rassibi, Edmond
Rassibi, Edmond was paid $139K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.
33Billing provider infoRASSIBI, EDMOND
CANOGA PARK, CA 91303
CANOGA PARK, CA 91303
33aNPI1265571350assigned 02/05/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$139K
24GClaims9,078
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,418 of 2,668
Median peer was paid$173K
This provider vs. median0.8×
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 | 1,737 | $3K | |
| 2019 | 1,553 | $5K | |
| 2020 | 326 | $6K | |
| 2021 | 964 | $21K | |
| 2022 | 1,193 | $26K | |
| 2023 | 1,762 | $38K | |
| 2024incomplete | 1,543 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 32% | 1,214 | 1,166 | $44K |
| D0150 | Comprehensive oral evaluation - new or established patient | 22% | 916 | 884 | $31K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 950 | 912 | $21K |
| D1206 | Topical application of fluoride varnish | 9.0% | 748 | 741 | $12K |
| D0210 | Intraoral - complete series of radiographic images | 5.5% | 576 | 561 | $8K |
| D9999 | Unspecified adjunctive procedure, by report | 5.1% | 56 | 55 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 1,827 | 986 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 1,276 | 1,149 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.4% | 186 | 172 | $3K |
| D0272 | Bitewings - two radiographic images | 2.3% | 964 | 917 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 34 | 25 | $1K |
| D1310 | <1% | 177 | 177 | $46.00 |
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.