Managed care
Mastour & Fard Dental Corp
Mastour & Fard Dental Corp was paid $224K by Medicaid between Nov 2019 and Dec 2024, across 18 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 19% of everything it billed.
33Billing provider infoMASTOUR & FARD DENTAL CORP
NEWBERRY PARK, CA 91320
NEWBERRY PARK, CA 91320
33aNPI1548730450assigned 12/04/2018
33bProvider typePreferred Provider Organization
28Total paid$224K
24GClaims12,281
24DCodes billed18
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other Preferred Provider Organization providers in California
Rank by total paid#40 of 100
Median peer was paid$80K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2019 | 119 | $3K | |
| 2020 | 1,968 | $45K | |
| 2021 | 2,392 | $47K | |
| 2022 | 2,806 | $46K | |
| 2023 | 2,182 | $28K | |
| 2024incomplete | 2,814 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 19% | 645 | 642 | $42K |
| D0350 | 16% | 3,901 | 1,021 | $35K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 473 | 472 | $30K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.3% | 472 | 469 | $19K |
| D9430 | 7.6% | 539 | 502 | $17K | |
| D0230 | Intraoral - periapical each additional radiographic image | 7.5% | 4,171 | 927 | $17K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 7.0% | 198 | 110 | $16K |
| D0210 | Intraoral - complete series of radiographic images | 6.5% | 304 | 303 | $14K |
| D1206 | Topical application of fluoride varnish | 5.5% | 886 | 881 | $12K |
| D0274 | Bitewings - four radiographic images | 3.4% | 399 | 398 | $8K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.7% | 50 | 36 | $6K |
| D4341 | 1.4% | 46 | 13 | $3K |
6 more codes
| D4910 | <1% | 27 | $2K | |
| D1351 | Sealant - per tooth | <1% | 59 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 17 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 69 | $634.00 |
| D0330 | Panoramic radiographic image | <1% | 12 | $330.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 13 | $156.00 |
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 officialMASTOUR, PEDRAM (OWNER)
| Provider | Location | Paid |
|---|---|---|
| A Sabbagh-Fard DDS & P. Mastour DDS INC | Culver City, CA | $256K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.