Dental
Keivan Sarraf, DDS, INC
Keivan Sarraf, DDS, INC was paid $2.47M 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
BALDWIN PARK, CA 91706
BALDWIN PARK, CA 91706
33aNPI1447556840assigned 02/02/2011
33bProvider typeDentist
28Total paid$2.47M
24GClaims112,741
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#218 of 2,314
Median peer was paid$185K
This provider vs. median13×
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 | 19,893 | $331K | |
| 2019 | 18,488 | $358K | |
| 2020 | 12,195 | $215K | |
| 2021 | 14,436 | $302K | |
| 2022 | 17,068 | $450K | |
| 2023 | 19,222 | $527K | |
| 2024incomplete | 11,439 | $290K |
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% | 8,009 | 7,928 | $356K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 7,911 | 7,828 | $272K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.2% | 3,716 | 3,662 | $203K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.3% | 48,397 | 10,445 | $182K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.9% | 1,376 | 727 | $170K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 5.4% | 593 | 376 | $134K |
| D1206 | Topical application of fluoride varnish | 5.2% | 9,492 | 9,390 | $128K |
| D1110 | Prophylaxis - adult | 4.3% | 1,642 | 1,609 | $106K |
| D0210 | Intraoral - complete series of radiographic images | 3.6% | 2,477 | 2,443 | $89K |
| D7240 | Removal of impacted tooth - completely bony | 3.4% | 368 | 164 | $84K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.9% | 1,170 | 687 | $71K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.7% | 1,184 | 781 | $68K |
28 more codes
| D1351 | Sealant - per tooth | 2.5% | 2,402 | $62K |
| D8670 | Periodic orthodontic treatment visit | 2.5% | 228 | $61K |
| D0272 | Bitewings - two radiographic images | 2.0% | 5,023 | $50K |
| D9222 | 1.9% | 380 | $46K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 915 | $43K |
| D0274 | Bitewings - four radiographic images | 1.7% | 2,615 | $43K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.7% | 346 | $41K |
| D7230 | 1.3% | 171 | $33K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.1% | 723 | $28K |
| D2140 | 1.1% | 575 | $28K | |
| D9430 | 1.1% | 1,052 | $27K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 240 | $24K |
| D4341 | <1% | 376 | $22K | |
| D1310 | <1% | 479 | $21K | |
| D9610 | <1% | 475 | $20K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,105 | $10K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 68 | $9K |
| D2751 | Crown - porcelain fused to predominantly base metal | <1% | 19 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 151 | $8K |
| D0603 | <1% | 477 | $7K | |
| D2160 | <1% | 76 | $6K | |
| D0350 | <1% | 682 | $6K | |
| D0330 | Panoramic radiographic image | <1% | 163 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 95 | $3K |
| D4910 | <1% | 12 | $715.00 | |
| D1999 | <1% | 795 | $270.00 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 12 | $252.00 |
| D1330 | 0% | 6,751 | $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)
Parent organizationKEIVAN SARRAF, DDS, INC
| Provider | Location | Paid |
|---|---|---|
| Keivan Sarraf, DDS, INC | Los Angeles, CA | $4.46M |
| 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.