Clinic
Shiva Izaddoust D.D.S. P.A.
Shiva Izaddoust D.D.S. P.A. was paid $37K by Medicaid between Dec 2020 and Nov 2024, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 24% of everything it billed.
33Billing provider infoSHIVA IZADDOUST D.D.S. P.A.
SAN ANTONIO, TX 78207
SAN ANTONIO, TX 78207
33aNPI1275667503assigned 03/16/2007
33bProvider typeDental Clinic/Center
28Total paid$37K
24GClaims2,937
24DCodes billed11
24AFirst – last monthDec 2020 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#165 of 255
Median peer was paid$110K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2020 | 19 | $0.00 | |
| 2021 | 602 | $7K | |
| 2022 | 1,306 | $19K | |
| 2023 | 778 | $9K | |
| 2024incomplete | 232 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 348 | 338 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 16% | 470 | 450 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 14% | 492 | 458 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 13% | 483 | 442 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 124 | 121 | $4K |
| D1110 | Prophylaxis - adult | 10% | 86 | 85 | $4K |
| D0274 | Bitewings - four radiographic images | 5.9% | 72 | 70 | $2K |
| D0272 | Bitewings - two radiographic images | 5.0% | 88 | 85 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | 12 | $353.20 |
| D1206 | Topical application of fluoride varnish | <1% | 15 | 15 | $220.50 |
| D0603 | 0% | 747 | 702 | $0.00 |
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 officialIZADDOUST, SHIVA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| South Park Family Dental Care PA | San Antonio, TX | $1.44M |
| Hildebrand Family Dental Care P.A. | San Antonio, TX | $82K |
| SP Administration | San Antonio, TX | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.