Dental
Soheil Khodadadi DMD DDS INC
Soheil Khodadadi DMD DDS INC was paid $411K by Medicaid between Jan 2018 and Jun 2022, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoSOHEIL KHODADADI DMD DDS INC
BEVERLY HILLS, CA 90211
BEVERLY HILLS, CA 90211
33aNPI1528235223assigned 05/12/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$411K
24GClaims12,080
24DCodes billed16
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#970 of 2,668
Median peer was paid$173K
This provider vs. median2.4×
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 | 2,073 | $41K | |
| 2019 | 2,004 | $50K | |
| 2020 | 2,670 | $104K | |
| 2021 | 4,833 | $193K | |
| 2022 | 500 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 2,189 | 2,166 | $121K |
| D0150 | Comprehensive oral evaluation - new or established patient | 23% | 1,953 | 1,928 | $94K |
| D0210 | Intraoral - complete series of radiographic images | 14% | 2,039 | 2,019 | $56K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,563 | 1,547 | $50K |
| D1208 | Topical application of fluoride, excluding varnish | 5.8% | 1,345 | 1,338 | $24K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.5% | 314 | 154 | $18K |
| D9430 | 2.5% | 405 | 387 | $10K | |
| D1206 | Topical application of fluoride varnish | 2.2% | 615 | 612 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 173 | 94 | $8K |
| D4341 | 2.0% | 182 | 52 | $8K | |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 748 | 720 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 94 | 94 | $3K |
4 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 officialKHODADADI, SOHEIL (OWNER/CEO)
| Provider | Location | Paid |
|---|---|---|
| Zaragoza Dental Care PLLC | El Paso, TX | $323K |
| Omni Endodontics, PLLC | El Paso, TX | $3K |
| Soheil Khodadadi DMD, DDS, INC. | Hemet, CA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.