Dental
Mazloomi, Farzad
Mazloomi, Farzad was paid $25K by Medicaid between Jan 2018 and Sep 2018, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 20% of everything it billed.
33Billing provider infoMAZLOOMI, FARZAD
SOUTH GATE, CA 90280
SOUTH GATE, CA 90280
33aNPI1427430016assigned 06/19/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$25K
24GClaims1,116
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,983 of 2,668
Median peer was paid$173K
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 | 1,116 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 20% | 112 | 112 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 140 | 140 | $5K |
| D0274 | Bitewings - four radiographic images | 15% | 130 | 130 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 9.8% | 223 | 222 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.8% | 218 | 195 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 7.5% | 107 | 107 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.2% | 58 | 58 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.0% | 56 | 56 | $1K |
| D0330 | Panoramic radiographic image | 3.3% | 16 | 16 | $820.96 |
| D0140 | Limited oral evaluation - problem focused | 3.1% | 27 | 26 | $765.99 |
| D0272 | Bitewings - two radiographic images | 2.3% | 29 | 29 | $569.85 |
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.