Khosh, Shayesteh

Khosh, Shayesteh was paid $57K by Medicaid between Jan 2018 and Jun 2022, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 37% of everything it billed.

33Billing provider infoKHOSH, SHAYESTEH
BURBANK, CA 91504

33aNPI1477699635assigned 01/29/2007

33bProvider typeDentist

28Total paid$57K

24GClaims2,472

24DCodes billed9

24AFirst – last monthJan 2018 – Jun 2022

Compared with peers

Next to other Dentist providers in California

Rank by total paid#1,530 of 2,314

Median peer was paid$185K

This provider vs. median0.3×

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	1,185	$20K
2019	907	$24K
2020	172	$5K
2021	171	$7K
2022	37	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	37%	522	519	$21K
D1110	Prophylaxis - adult	32%	223	222	$18K
D1120	Dental cleaning, childProphylaxis - child	8.7%	167	166	$5K
D0230	Intraoral - periapical each additional radiographic image	6.4%	930	502	$4K
D0272	Bitewings - two radiographic images	5.1%	259	255	$3K
D1206	Topical application of fluoride varnish	4.3%	135	135	$2K
D1208	Topical application of fluoride, excluding varnish	3.0%	211	207	$2K
D4910		1.6%	13	13	$936.00
D0150	Comprehensive oral evaluation - new or established patient	1.4%	12	12	$792.00

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.