Dental
Molavi, Sasan
Molavi, Sasan was paid $2.09M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.
33Billing provider infoMOLAVI, SASAN
MOUNT PLEASANT, WI 53406
MOUNT PLEASANT, WI 53406
33aNPI1467680504assigned 06/28/2009
33bProvider typeDentist
28Total paid$2.09M
24GClaims72,980
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Wisconsin
Rank by total paid#12 of 185
Median peer was paid$28K
This provider vs. median74×
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 | 11,231 | $244K | |
| 2019 | 10,239 | $288K | |
| 2020 | 13,364 | $385K | |
| 2021 | 19,406 | $579K | |
| 2022 | 9,127 | $318K | |
| 2023 | 5,517 | $166K | |
| 2024incomplete | 4,096 | $109K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 7,462 | 7,067 | $302K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 3,284 | 2,103 | $248K |
| D1351 | Sealant - per tooth | 10.0% | 3,348 | 1,458 | $208K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.1% | 7,145 | 6,658 | $190K |
| D1208 | Topical application of fluoride, excluding varnish | 8.9% | 7,306 | 6,903 | $185K |
| D1110 | Prophylaxis - adult | 5.9% | 3,521 | 3,280 | $123K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.7% | 5,003 | 4,723 | $120K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.4% | 987 | 591 | $112K |
| D0330 | Panoramic radiographic image | 4.2% | 1,379 | 1,266 | $88K |
| D0274 | Bitewings - four radiographic images | 4.2% | 5,059 | 4,727 | $87K |
| D7140 | Extraction, erupted tooth or exposed root | 4.1% | 1,245 | 762 | $86K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.3% | 1,393 | 1,034 | $68K |
15 more codes
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 9,732 | $67K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 9,775 | $57K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.7% | 732 | $56K |
| D0272 | Bitewings - two radiographic images | 1.2% | 2,005 | $26K |
| D0140 | Limited oral evaluation - problem focused | <1% | 841 | $18K |
| D4341 | <1% | 121 | $17K | |
| D0270 | <1% | 1,988 | $11K | |
| D2750 | <1% | 23 | $6K | |
| D1206 | Topical application of fluoride varnish | <1% | 222 | $5K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 58 | $3K |
| D9110 | <1% | 51 | $3K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 37 | $1K |
| D2331 | <1% | 16 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 58 | $319.93 |
| D1999 | 0% | 189 | $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.