Dental
Deylamipour, Sara
Deylamipour, Sara was paid $921.60 by Medicaid between Jul 2018 and Aug 2018, across 1 billing code. Its largest line is D1120, dental cleaning, child — 100% of everything it billed.
33Billing provider infoDEYLAMIPOUR, SARA
LAGUNA NIGUEL, CA 92677
LAGUNA NIGUEL, CA 92677
33aNPI1275839938assigned 01/28/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$921.60
24GClaims27
24DCodes billed1
24AFirst – last monthJul 2018 – Aug 2018
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,515 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 | 27 | $921.60 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 100% | 27 | 26 | $921.60 |
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.