Dental
Kamran Shahsavari DDS INC
Kamran Shahsavari DDS INC was paid $329K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 20% of everything it billed.
33Billing provider infoKAMRAN SHAHSAVARI DDS INC
SIMI VALLEY, CA 93065
SIMI VALLEY, CA 93065
33aNPI1477930063assigned 05/03/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$329K
24GClaims10,464
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,071 of 2,668
Median peer was paid$173K
This provider vs. median1.9×
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 | 1,864 | $50K | |
| 2019 | 2,222 | $68K | |
| 2020 | 758 | $26K | |
| 2021 | 691 | $7K | |
| 2022 | 806 | $17K | |
| 2023 | 1,812 | $54K | |
| 2024incomplete | 2,311 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 20% | 818 | 351 | $65K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 850 | 844 | $52K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 776 | 769 | $39K |
| D0210 | Intraoral - complete series of radiographic images | 9.5% | 708 | 702 | $31K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.2% | 666 | 664 | $24K |
| D3221 | 7.1% | 369 | 239 | $23K | |
| D0230 | Intraoral - periapical each additional radiographic image | 5.7% | 4,599 | 877 | $19K |
| D2751 | Crown - porcelain fused to predominantly base metal | 5.6% | 44 | 27 | $19K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.0% | 251 | 123 | $17K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.2% | 196 | 94 | $11K |
| D0274 | Bitewings - four radiographic images | 3.0% | 478 | 478 | $10K |
| D2954 | 2.7% | 88 | 52 | $9K |
3 more codes
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 officialSHAHSAVARI, KAMRAN (PRESIDENT)