Dental
Khalili, Fereydoun
Khalili, Fereydoun was paid $7K by Medicaid between Feb 2018 and Apr 2019, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 38% of everything it billed.
33Billing provider infoKHALILI, FEREYDOUN
SOUTH RICHMOND HILL, NY 11419
SOUTH RICHMOND HILL, NY 11419
33aNPI1336368141assigned 04/24/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$7K
24GClaims533
24DCodes billed7
24AFirst – last monthFeb 2018 – Apr 2019
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#1,658 of 2,184
Median peer was paid$54K
This provider vs. median0.1×
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 | 436 | $5K | |
| 2019 | 97 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 38% | 106 | 106 | $3K |
| D0274 | Bitewings - four radiographic images | 27% | 145 | 145 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 68 | 68 | $930.47 |
| D0230 | Intraoral - periapical each additional radiographic image | 13% | 125 | 123 | $857.92 |
| D0220 | Intraoral - periapical first radiographic image | 3.6% | 60 | 59 | $242.87 |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 17 | 17 | $180.45 |
| D1208 | Topical application of fluoride, excluding varnish | 1.5% | 12 | 12 | $101.32 |
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.