Dental
Kelishadi Samani Dental Corp
Kelishadi Samani Dental Corp was paid $874K by Medicaid between Jan 2018 and Oct 2024, across 22 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 28% of everything it billed.
33Billing provider infoKELISHADI SAMANI DENTAL CORP
CARSON, CA 90745
CARSON, CA 90745
33aNPI1508069576assigned 06/07/2007
33bProvider typeDentist
28Total paid$874K
24GClaims29,308
24DCodes billed22
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#554 of 2,314
Median peer was paid$185K
This provider vs. median4.7×
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 | 6,552 | $124K | |
| 2019 | 5,398 | $110K | |
| 2020 | 3,314 | $55K | |
| 2021 | 3,695 | $98K | |
| 2022 | 4,112 | $166K | |
| 2023 | 3,837 | $230K | |
| 2024incomplete | 2,400 | $91K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2751 | Crown - porcelain fused to predominantly base metal | 28% | 513 | 383 | $241K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 2,159 | 2,140 | $107K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.1% | 1,336 | 1,330 | $79K |
| D0210 | Intraoral - complete series of radiographic images | 6.7% | 1,293 | 1,288 | $59K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.7% | 14,887 | 2,994 | $59K |
| D2954 | 6.5% | 551 | 447 | $57K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.7% | 754 | 441 | $50K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.3% | 1,326 | 1,315 | $46K |
| D9430 | 3.3% | 933 | 918 | $29K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.1% | 237 | 127 | $27K |
| D0272 | Bitewings - two radiographic images | 2.7% | 2,090 | 2,072 | $24K |
| D2160 | 2.5% | 275 | 152 | $22K |
10 more codes
| D1208 | Topical application of fluoride, excluding varnish | 2.3% | 1,855 | $20K |
| D1110 | Prophylaxis - adult | 1.4% | 168 | $12K |
| D4910 | 1.4% | 161 | $12K | |
| D4341 | 1.1% | 144 | $10K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 14 | $6K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 545 | $6K |
| D2931 | <1% | 29 | $4K | |
| D8670 | Periodic orthodontic treatment visit | <1% | 12 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | $420.00 |
| D0274 | Bitewings - four radiographic images | <1% | 14 | $280.80 |
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.
From NPPES
Who's on the registration
Authorized officialKELISHADI, MARJAN (DENTIST)