Salavati, Roxanne

Salavati, Roxanne was paid $12K by Medicaid between Feb 2020 and Jul 2020, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.

33Billing provider infoSALAVATI, ROXANNE
BEVERLY HILLS, CA 90210

33aNPI1487217865assigned 04/21/2019

33bProvider typeProsthodontist

28Total paid$12K

24GClaims613

24DCodes billed7

24AFirst – last monthFeb 2020 – Jul 2020

Compared with peers

Next to other Prosthodontist providers in California

Rank by total paid#9 of 13

Median peer was paid$26K

This provider vs. median0.5×

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

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
2020	613	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	32%	98	91	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	28%	125	115	$3K
D1208	Topical application of fluoride, excluding varnish	20%	97	90	$2K
D0274	Bitewings - four radiographic images	6.0%	46	46	$726.70
D0220	Intraoral - periapical first radiographic image	5.4%	120	109	$655.20
D1110	Prophylaxis - adult	4.4%	13	13	$533.00
D0230	Intraoral - periapical each additional radiographic image	4.4%	114	99	$532.00

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.