Masoum, Sedigheh

Masoum, Sedigheh was paid $223K by Medicaid between Jan 2018 and Dec 2022, across 17 billing codes. Its largest line is D0120, dental checkup, returning patient — 23% of everything it billed.

33Billing provider infoMASOUM, SEDIGHEH
MISSION VIEJO, CA 92691

33aNPI1679637821assigned 12/21/2006

33bProvider typeDentist

28Total paid$223K

24GClaims8,425

24DCodes billed17

24AFirst – last monthJan 2018 – Dec 2022

Compared with peers

Next to other Dentist providers in California

Rank by total paid#1,091 of 2,314

Median peer was paid$185K

This provider vs. median1.2×

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	2,375	$61K
2019	2,188	$58K
2020	1,694	$43K
2021	1,441	$35K
2022	727	$25K

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%	1,074	1,074	$51K
D2391	Resin-based composite - one surface, posterior, primary or permanent	21%	852	375	$46K
D1120	Dental cleaning, childProphylaxis - child	13%	913	912	$29K
D9110		12%	429	416	$27K
D0220	Intraoral - periapical first radiographic image	6.8%	1,291	1,173	$15K
D1208	Topical application of fluoride, excluding varnish	6.2%	1,291	1,290	$14K
D2330		4.1%	119	54	$9K
D0230	Intraoral - periapical each additional radiographic image	3.3%	1,752	756	$7K
D4910		3.0%	86	86	$7K
D9430		1.8%	122	119	$4K
D0150	Comprehensive oral evaluation - new or established patient	1.6%	83	83	$4K
D1110	Prophylaxis - adult	1.5%	46	46	$3K

5 more codes

D0272	Bitewings - two radiographic images	1.1%	220	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	25	$2K
D1351	Sealant - per tooth	<1%	56	$1K
D7140	Extraction, erupted tooth or exposed root	<1%	19	$1K
D0350		<1%	47	$566.40

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.