Dental
Dashti, Sepi
Dashti, Sepi was paid $5K by Medicaid between Aug 2022 and Nov 2022, across 7 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 28% of everything it billed.
33Billing provider infoDASHTI, SEPI
WAUKEGAN, IL 60085
WAUKEGAN, IL 60085
33aNPI1619630480assigned 10/19/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$5K
24GClaims189
24DCodes billed7
24AFirst – last monthAug 2022 – Nov 2022
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#884 of 1,017
Median peer was paid$123K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2022 | 189 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 28% | 60 | 60 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 28 | 28 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 28 | 28 | $784.00 |
| D1110 | Prophylaxis - adult | 12% | 14 | 14 | $628.94 |
| D0140 | Limited oral evaluation - problem focused | 11% | 31 | 31 | $592.72 |
| D0330 | Panoramic radiographic image | 6.6% | 13 | 13 | $346.71 |
| D0274 | Bitewings - four radiographic images | 5.3% | 15 | 15 | $279.16 |
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.