Dental
Rastgoftar, Nader
Rastgoftar, Nader was paid $186K by Medicaid between Jan 2018 and Dec 2018, across 22 billing codes. Its largest line is D0120, dental checkup, returning patient — 23% of everything it billed.
33Billing provider infoRASTGOFTAR, NADER
OLATHE, KS 66062
OLATHE, KS 66062
33aNPI1669858288assigned 08/05/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$186K
24GClaims5,406
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other General Practice Dentistry providers in Kansas
Rank by total paid#56 of 203
Median peer was paid$40K
This provider vs. median4.7×
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 | 5,406 | $186K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 303 | 294 | $42K |
| D1206 | Topical application of fluoride varnish | 16% | 467 | 458 | $29K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 190 | 182 | $26K |
| D1351 | Sealant - per tooth | 14% | 1,026 | 228 | $25K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 330 | 223 | $20K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.9% | 306 | 217 | $18K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.0% | 349 | 339 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 2.9% | 283 | 274 | $5K |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 31 | 26 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 435 | 401 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 12 | 12 | $2K |
| D1110 | Prophylaxis - adult | <1% | 101 | 98 | $1K |
10 more codes
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 520 | $840.10 |
| D0330 | Panoramic radiographic image | <1% | 125 | $789.95 |
| D0272 | Bitewings - two radiographic images | <1% | 245 | $223.42 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 33 | $195.00 |
| D0274 | Bitewings - four radiographic images | <1% | 113 | $59.00 |
| D1354 | 0% | 80 | $0.00 | |
| D0190 | 0% | 199 | $0.00 | |
| D9993 | 0% | 35 | $0.00 | |
| D1310 | 0% | 99 | $0.00 | |
| D1353 | 0% | 124 | $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.