Dental
Keivan Sarraf, DDS, INC
Keivan Sarraf, DDS, INC was paid $4.46M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is D0120, dental checkup, returning patient — 14% of everything it billed.
33Billing provider infoKEIVAN SARRAF, DDS, INC
LOS ANGELES, CA 90037
LOS ANGELES, CA 90037
33aNPI1386811271assigned 05/11/2008
33bProvider typeDentist
28Total paid$4.46M
24GClaims182,870
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#112 of 2,314
Median peer was paid$185K
This provider vs. median24×
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 | 34,262 | $831K | |
| 2019 | 29,668 | $697K | |
| 2020 | 18,312 | $326K | |
| 2021 | 26,803 | $468K | |
| 2022 | 22,967 | $582K | |
| 2023 | 29,545 | $867K | |
| 2024incomplete | 21,313 | $687K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 13,022 | 12,928 | $627K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.6% | 7,366 | 7,320 | $429K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.1% | 11,580 | 11,447 | $404K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 7.5% | 2,912 | 1,514 | $336K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.2% | 81,544 | 16,232 | $323K |
| D0210 | Intraoral - complete series of radiographic images | 5.6% | 6,026 | 5,978 | $250K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.0% | 3,602 | 2,266 | $223K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 4.4% | 426 | 395 | $197K |
| D1110 | Prophylaxis - adult | 3.8% | 2,250 | 2,226 | $169K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.6% | 1,415 | 506 | $162K |
| D1206 | Topical application of fluoride varnish | 3.5% | 13,087 | 12,969 | $157K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.0% | 1,374 | 502 | $133K |
28 more codes
| D1351 | Sealant - per tooth | 2.9% | 4,708 | $130K |
| D7140 | Extraction, erupted tooth or exposed root | 2.6% | 2,061 | $115K |
| D0272 | Bitewings - two radiographic images | 2.4% | 10,291 | $108K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.4% | 1,669 | $107K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 1,848 | $90K |
| D8670 | Periodic orthodontic treatment visit | 1.8% | 301 | $80K |
| D9430 | 1.3% | 2,066 | $60K | |
| D4341 | 1.3% | 906 | $60K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.3% | 1,520 | $59K |
| D0274 | Bitewings - four radiographic images | 1.2% | 2,910 | $53K |
| D2140 | <1% | 712 | $36K | |
| D0330 | Panoramic radiographic image | <1% | 1,193 | $30K |
| D2160 | <1% | 219 | $17K | |
| D3320 | <1% | 44 | $16K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,476 | $16K |
| D7240 | Removal of impacted tooth - completely bony | <1% | 62 | $14K |
| D2751 | Crown - porcelain fused to predominantly base metal | <1% | 29 | $14K |
| D7230 | <1% | 63 | $12K | |
| D1310 | <1% | 251 | $10K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 115 | $9K |
| D0350 | <1% | 461 | $4K | |
| D0603 | <1% | 262 | $3K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 79 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 60 | $2K |
| D4910 | <1% | 13 | $946.00 | |
| D0270 | <1% | 53 | $235.00 | |
| D1999 | <1% | 351 | $40.00 | |
| D1330 | 0% | 4,543 | $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 officialSARRAF, KEIVAN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Keivan Sarraf, DDS, INC | Baldwin Park, CA | $2.47M |
| Keivan Sarraf, DDS, INC | Huntington Park, CA | $1.05M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.