Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Rochelle › NPI 1457974354
Dental

Mirzamani, Seyed

Mirzamani, Seyed was paid $241K by Medicaid between Aug 2020 and May 2021, across 17 billing codes. Its largest line is D1351, Sealant - per tooth — 23% of everything it billed.

33Billing provider infoMIRZAMANI, SEYED
ROCHELLE, IL 61068
33aNPI1457974354assigned 05/26/2020
33bProvider typeDentist
28Total paid$241K
24GClaims8,826
24DCodes billed17
24AFirst – last monthAug 2020 – May 2021
Compared with peers

Next to other Dentist providers in Illinois

Rank by total paid#466 of 1,099
Median peer was paid$160K
This provider vs. median1.5×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20203,959$112K
20214,867$129K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1351 Sealant - per tooth 23% 806 415 $55K
D1120 Dental cleaning, childProphylaxis - child 21% 1,280 1,156 $52K
D1208 Topical application of fluoride, excluding varnish 14% 1,282 1,158 $33K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 11% 993 900 $27K
D0150 Comprehensive oral evaluation - new or established patient 5.3% 626 576 $13K
D7140 Extraction, erupted tooth or exposed root 4.8% 215 177 $12K
D2150 Silver amalgam - two surfaces, primary or permanent 4.0% 144 115 $10K
D0274 Bitewings - four radiographic images 3.5% 502 473 $8K
D0272 Bitewings - two radiographic images 2.7% 699 622 $6K
D0220 Intraoral - periapical first radiographic image 2.5% 1,083 984 $6K
D2930 Prefabricated stainless steel crown - primary tooth 1.9% 48 43 $5K
D2140 1.9% 124 100 $5K
5 more codes
D0230 Intraoral - periapical each additional radiographic image 1.8% 891 $4K
D9110 1.2% 52 $3K
D1110 Prophylaxis - adult <1% 53 $2K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 14 $843.20
D0140 Limited oral evaluation - problem focused <1% 14 $226.80

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.