Dental
Shadpour, Elham
Shadpour, Elham was paid $13K by Medicaid between Mar 2021 and May 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 36% of everything it billed.
33Billing provider infoSHADPOUR, ELHAM
GLENDALE, NY 11385
GLENDALE, NY 11385
33aNPI1548519960assigned 08/30/2012
33bProvider typeDentist
28Total paid$13K
24GClaims641
24DCodes billed10
24AFirst – last monthMar 2021 – May 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#1,123 of 1,649
Median peer was paid$49K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2021 | 22 | $0.00 | |
| 2023 | 439 | $10K | |
| 2024incomplete | 180 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 36% | 132 | 132 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 24% | 149 | 149 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 15% | 57 | 57 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 8.1% | 105 | 105 | $1K |
| D0274 | Bitewings - four radiographic images | 7.4% | 48 | 48 | $951.76 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.3% | 27 | 27 | $547.28 |
| D0230 | Intraoral - periapical each additional radiographic image | 3.4% | 75 | 75 | $428.85 |
| D1208 | Topical application of fluoride, excluding varnish | 1.2% | 14 | 14 | $155.30 |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | 12 | $124.44 |
| 99080 | 0% | 22 | 12 | $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.