Dental
Heydar Shahrokh DDS INC
Heydar Shahrokh DDS INC was paid $1.09M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 25% of everything it billed.
33Billing provider infoHEYDAR SHAHROKH DDS INC
HAWTHORNE, CA 90250
HAWTHORNE, CA 90250
33aNPI1700240793assigned 04/06/2016
33bProvider typeDentist
28Total paid$1.09M
24GClaims46,400
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#464 of 2,314
Median peer was paid$185K
This provider vs. median5.9×
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 | 2,657 | $83K | |
| 2019 | 3,048 | $103K | |
| 2020 | 2,631 | $110K | |
| 2021 | 3,912 | $149K | |
| 2022 | 9,047 | $148K | |
| 2023 | 10,323 | $150K | |
| 2024incomplete | 14,782 | $350K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 25% | 4,282 | 4,266 | $276K |
| D0230 | Intraoral - periapical each additional radiographic image | 14% | 25,036 | 6,536 | $155K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 13% | 316 | 287 | $146K |
| D1110 | Prophylaxis - adult | 7.5% | 1,009 | 1,004 | $82K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.6% | 519 | 343 | $61K |
| D0220 | Intraoral - periapical first radiographic image | 5.0% | 4,667 | 4,327 | $55K |
| D0272 | Bitewings - two radiographic images | 4.7% | 4,337 | 4,321 | $51K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.9% | 676 | 673 | $43K |
| D9430 | 3.8% | 1,312 | 1,239 | $42K | |
| D9110 | 3.0% | 532 | 489 | $33K | |
| D2751 | Crown - porcelain fused to predominantly base metal | 2.2% | 51 | 40 | $24K |
| D4341 | 2.0% | 328 | 87 | $22K |
14 more codes
| D1208 | Topical application of fluoride, excluding varnish | 1.5% | 1,203 | $17K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.4% | 236 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.1% | 178 | $12K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 1.0% | 80 | $11K |
| D0350 | <1% | 634 | $9K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 181 | $9K |
| D0330 | Panoramic radiographic image | <1% | 248 | $7K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 73 | $6K |
| D2160 | <1% | 73 | $6K | |
| D9222 | <1% | 29 | $4K | |
| D2954 | <1% | 33 | $3K | |
| D1120 | Dental cleaning, child | <1% | 98 | $3K |
| D1206 | Topical application of fluoride varnish | <1% | 256 | $2K |
| D4910 | <1% | 13 | $1K |
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 officialSHAHROKH, HEYDAR (PRESIDENT)