Dental
A Sabbagh-Fard DDS & P. Mastour DDS INC
A Sabbagh-Fard DDS & P. Mastour DDS INC was paid $256K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is D4910, — 22% of everything it billed.
33Billing provider infoA SABBAGH-FARD DDS & P. MASTOUR DDS INC
CULVER CITY, CA 90230
CULVER CITY, CA 90230
33aNPI1568710333assigned 08/27/2012
33bProvider typePeriodontist
28Total paid$256K
24GClaims11,174
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Periodontist providers in California
Rank by total paid#6 of 17
Median peer was paid$38K
This provider vs. median6.8×
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 | |
|---|---|---|---|
| 2018 | 1,081 | $24K | |
| 2019 | 626 | $14K | |
| 2020 | 1,397 | $24K | |
| 2021 | 1,934 | $38K | |
| 2022 | 1,681 | $33K | |
| 2023 | 2,294 | $45K | |
| 2024incomplete | 2,161 | $77K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D4910 | 22% | 738 | 735 | $57K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 785 | 781 | $46K |
| D0350 | 13% | 3,591 | 1,053 | $34K | |
| D0210 | Intraoral - complete series of radiographic images | 13% | 719 | 719 | $33K |
| D4341 | 8.3% | 306 | 84 | $21K | |
| D2751 | Crown - porcelain fused to predominantly base metal | 7.6% | 41 | 26 | $20K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.1% | 366 | 365 | $18K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.7% | 3,542 | 836 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 1.8% | 347 | 347 | $5K |
| D1206 | Topical application of fluoride varnish | 1.0% | 176 | 176 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 120 | 120 | $2K |
| D9430 | <1% | 40 | 40 | $1K |
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 officialMASTOUR, PEDRAM (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Mastour & Fard Dental Corp | Newberry Park, CA | $224K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.