Dental
Shahrokh, Heydar
Shahrokh, Heydar was paid $11K by Medicaid between Jul 2019 and Jul 2024, across 9 billing codes. Its largest line is D9999, Unspecified adjunctive procedure, by report — 32% of everything it billed.
33Billing provider infoSHAHROKH, HEYDAR
HAWTHORNE, CA 90250
HAWTHORNE, CA 90250
33aNPI1578620407assigned 01/02/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$11K
24GClaims1,481
24DCodes billed9
24AFirst – last monthJul 2019 – Jul 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,152 of 2,668
Median peer was paid$173K
This provider vs. median0.1×
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 | 63 | $116.60 | |
| 2020 | 47 | $84.15 | |
| 2021 | 422 | $3K | |
| 2022 | 161 | $410.75 | |
| 2023 | 615 | $7K | |
| 2024incomplete | 173 | $579.75 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9999 | Unspecified adjunctive procedure, by report | 32% | 32 | 24 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 19% | 1,061 | 212 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 26 | 24 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 8.1% | 38 | 38 | $928.50 |
| D1120 | Dental cleaning, childProphylaxis - child | 7.7% | 45 | 42 | $886.50 |
| D0220 | Intraoral - periapical first radiographic image | 7.3% | 159 | 151 | $832.00 |
| D0999 | Unspecified diagnostic procedure, by report | 6.3% | 12 | 12 | $720.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.4% | 14 | 14 | $621.00 |
| D0272 | Bitewings - two radiographic images | 3.4% | 94 | 87 | $384.00 |
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.