Dental
Pooyan Nasibi DDS INC
Pooyan Nasibi DDS INC was paid $4.84M by Medicaid between Dec 2019 and Dec 2024, across 33 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 23% of everything it billed.
33Billing provider infoPOOYAN NASIBI DDS INC
MONTEBELLO, CA 90640
MONTEBELLO, CA 90640
33aNPI1457813339assigned 04/01/2019
33bProvider typePediatric Dentist
28Total paid$4.84M
24GClaims118,183
24DCodes billed33
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#60 of 332
Median peer was paid$450K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2019 | 127 | $2K | |
| 2020 | 8,165 | $412K | |
| 2021 | 21,252 | $877K | |
| 2022 | 25,565 | $1.04M | |
| 2023 | 29,185 | $1.21M | |
| 2024incomplete | 33,889 | $1.30M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 23% | 9,506 | 2,044 | $1.13M |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 15% | 7,241 | 1,827 | $714K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.9% | 8,447 | 8,387 | $384K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.4% | 4,669 | 1,819 | $310K |
| D1310 | 5.4% | 5,817 | 5,771 | $262K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 3,456 | 3,445 | $232K |
| D7140 | Extraction, erupted tooth or exposed root | 4.6% | 3,962 | 1,705 | $224K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.2% | 2,843 | 2,823 | $204K |
| D1208 | Topical application of fluoride, excluding varnish | 3.6% | 8,430 | 8,369 | $175K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 32,925 | 6,956 | $150K |
| D1351 | Sealant - per tooth | 2.7% | 3,973 | 1,305 | $129K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.6% | 3,249 | 3,197 | $128K |
21 more codes
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 2.4% | 501 | $118K |
| D2330 | 1.9% | 1,186 | $91K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.9% | 1,668 | $90K |
| D0603 | 1.8% | 5,794 | $85K | |
| D9993 | 1.7% | 1,523 | $82K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.5% | 949 | $75K |
| D9430 | 1.2% | 1,791 | $57K | |
| D0272 | Bitewings - two radiographic images | 1.1% | 4,701 | $56K |
| D0145 | Oral evaluation for a patient under three years of age | 1.1% | 884 | $55K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,466 | $29K |
| D2331 | <1% | 186 | $15K | |
| D9222 | <1% | 109 | $13K | |
| D0350 | <1% | 1,367 | $11K | |
| D9610 | <1% | 333 | $10K | |
| D1510 | <1% | 50 | $9K | |
| D2332 | <1% | 17 | $1K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 30 | $1K |
| D0330 | Panoramic radiographic image | <1% | 29 | $870.00 |
| D0274 | Bitewings - four radiographic images | <1% | 36 | $777.60 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 13 | $624.00 |
| D0270 | <1% | 32 | $160.00 |
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 officialNASIBI, POOYAN (OWNER DOCTOR)