Clinic
Mortezaiefard Dental Corp
Mortezaiefard Dental Corp was paid $162K by Medicaid between Jan 2018 and Aug 2024, across 14 billing codes. Its largest line is D0120, dental checkup, returning patient — 25% of everything it billed.
33Billing provider infoMORTEZAIEFARD DENTAL CORP
WEST HILLS, CA 91304
WEST HILLS, CA 91304
33aNPI1720247638assigned 06/05/2008
33bProvider typeDental Clinic/Center
28Total paid$162K
24GClaims10,854
24DCodes billed14
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#605 of 1,135
Median peer was paid$200K
This provider vs. median0.8×
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 | 1,874 | $30K | |
| 2019 | 1,888 | $29K | |
| 2020 | 1,180 | $14K | |
| 2021 | 1,556 | $20K | |
| 2022 | 1,940 | $35K | |
| 2023 | 1,544 | $24K | |
| 2024incomplete | 872 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 743 | 736 | $41K |
| D0230 | Intraoral - periapical each additional radiographic image | 15% | 5,740 | 1,903 | $24K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 598 | 591 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 12% | 1,654 | 1,344 | $20K |
| D1208 | Topical application of fluoride, excluding varnish | 8.9% | 1,202 | 1,190 | $14K |
| D2330 | 6.6% | 140 | 100 | $11K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.3% | 188 | 188 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 4.2% | 156 | 156 | $7K |
| D0274 | Bitewings - four radiographic images | 3.4% | 262 | 256 | $6K |
| D1110 | Prophylaxis - adult | 2.1% | 39 | 39 | $3K |
| D4910 | 1.8% | 39 | 38 | $3K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.5% | 35 | 24 | $2K |
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 officialMORTEZAIEFARD, GOLSAHN (OWNER)