Clinic
Motamedi Dental Corp
Motamedi Dental Corp was paid $25K by Medicaid between Jun 2023 and Aug 2024, across 7 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 70% of everything it billed.
33Billing provider infoMOTAMEDI DENTAL CORP
WEST COVINA, CA 91792
WEST COVINA, CA 91792
33aNPI1427795327assigned 05/13/2022
33bProvider typeDental Clinic/Center
28Total paid$25K
24GClaims538
24DCodes billed7
24AFirst – last monthJun 2023 – Aug 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#868 of 1,135
Median peer was paid$200K
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 | |
|---|---|---|---|
| 2023 | 290 | $11K | |
| 2024incomplete | 248 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 70% | 263 | 263 | $17K |
| D0210 | Intraoral - complete series of radiographic images | 20% | 103 | 103 | $5K |
| D1110 | Prophylaxis - adult | 4.4% | 12 | 12 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 110 | 28 | $481.95 |
| D1208 | Topical application of fluoride, excluding varnish | 1.6% | 26 | 26 | $386.00 |
| D9430 | 1.6% | 12 | 12 | $384.00 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12 | 12 | $132.10 |
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 officialMOTAMEDI, AMIR (OWNER)