Dental
Keivan Sarraf, DDS, INC
Keivan Sarraf, DDS, INC was paid $1.05M by Medicaid between Feb 2018 and Dec 2024, across 35 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 17% of everything it billed.
33Billing provider infoKEIVAN SARRAF, DDS, INC
HUNTINGTON PARK, CA 90255
HUNTINGTON PARK, CA 90255
33aNPI1528578036assigned 10/10/2017
33bProvider typeDentist
28Total paid$1.05M
24GClaims42,283
24DCodes billed35
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#479 of 2,314
Median peer was paid$185K
This provider vs. median5.7×
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 | 4,349 | $122K | |
| 2019 | 6,759 | $170K | |
| 2020 | 3,197 | $66K | |
| 2021 | 3,691 | $59K | |
| 2022 | 5,567 | $139K | |
| 2023 | 8,959 | $238K | |
| 2024incomplete | 9,761 | $255K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 2,954 | 2,909 | $175K |
| D0210 | Intraoral - complete series of radiographic images | 9.3% | 2,280 | 2,252 | $97K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.0% | 1,564 | 1,552 | $94K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.7% | 2,426 | 2,401 | $91K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.3% | 18,961 | 3,765 | $76K |
| D9430 | 7.0% | 2,331 | 2,262 | $74K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.9% | 648 | 307 | $73K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.7% | 1,106 | 607 | $71K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 5.7% | 129 | 113 | $60K |
| D1110 | Prophylaxis - adult | 2.8% | 351 | 351 | $29K |
| D1208 | Topical application of fluoride, excluding varnish | 2.6% | 1,686 | 1,671 | $27K |
| D2751 | Crown - porcelain fused to predominantly base metal | 2.2% | 50 | 43 | $24K |
23 more codes
| D0330 | Panoramic radiographic image | 2.1% | 1,468 | $22K |
| D0274 | Bitewings - four radiographic images | 1.9% | 1,074 | $20K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.9% | 394 | $19K |
| D4341 | 1.4% | 254 | $15K | |
| D1206 | Topical application of fluoride varnish | 1.3% | 1,161 | $13K |
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 250 | $13K |
| D8670 | Periodic orthodontic treatment visit | 1.1% | 39 | $11K |
| D0272 | Bitewings - two radiographic images | <1% | 906 | $10K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 76 | $6K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 85 | $5K |
| D7230 | <1% | 25 | $5K | |
| D1351 | Sealant - per tooth | <1% | 165 | $5K |
| D0350 | <1% | 320 | $3K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 257 | $3K |
| D2140 | <1% | 42 | $2K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 49 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 41 | $1K |
| D2160 | <1% | 13 | $1K | |
| D4910 | <1% | 12 | $847.00 | |
| D1310 | <1% | 32 | $770.50 | |
| D0603 | <1% | 29 | $251.25 | |
| D1999 | <1% | 66 | $20.00 | |
| D1330 | 0% | 1,039 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialSARRAF, KEIVAN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Keivan Sarraf, DDS, INC | Los Angeles, CA | $4.46M |
| Keivan Sarraf, DDS, INC | Baldwin Park, CA | $2.47M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.