Dental
Yadollahibastani, Sasan
Yadollahibastani, Sasan was paid $55K by Medicaid between Nov 2020 and Feb 2024, across 11 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 25% of everything it billed.
33Billing provider infoYADOLLAHIBASTANI, SASAN
BAYTOWN, TX 77520
BAYTOWN, TX 77520
33aNPI1558793323assigned 08/05/2013
33bProvider typeDentist
28Total paid$55K
24GClaims3,663
24DCodes billed11
24AFirst – last monthNov 2020 – Feb 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#744 of 1,678
Median peer was paid$35K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2020 | 199 | $4K | |
| 2021 | 2,681 | $40K | |
| 2022 | 522 | $7K | |
| 2023 | 233 | $3K | |
| 2024incomplete | 28 | $191.10 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 25% | 120 | 106 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 484 | 412 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 320 | 271 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 568 | 492 | $6K |
| D1110 | Prophylaxis - adult | 9.7% | 151 | 124 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 8.4% | 509 | 431 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.1% | 469 | 401 | $4K |
| D0274 | Bitewings - four radiographic images | 2.3% | 65 | 48 | $1K |
| D0272 | Bitewings - two radiographic images | 1.1% | 47 | 39 | $591.36 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.0% | 23 | 21 | $565.12 |
| D0603 | 0% | 907 | 801 | $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.