Lotfi, Pouyan

Lotfi, Pouyan was paid $12K by Medicaid between Mar 2018 and Oct 2019, across 8 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 33% of everything it billed.

33Billing provider infoLOTFI, POUYAN
PALO ALTO, CA 94303

33aNPI1730118647assigned 07/02/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$12K

24GClaims655

24DCodes billed8

24AFirst – last monthMar 2018 – Oct 2019

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#2,144 of 2,668

Median peer was paid$173K

This provider vs. median0.1×

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	401	$7K
2019	254	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	33%	193	193	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	17%	103	103	$2K
D0230	Intraoral - periapical each additional radiographic image	16%	169	99	$2K
D0220	Intraoral - periapical first radiographic image	11%	113	113	$1K
D1110	Prophylaxis - adult	9.8%	25	25	$1K
D1120	Dental cleaning, childProphylaxis - child	7.3%	26	26	$871.52
D0150	Comprehensive oral evaluation - new or established patient	3.4%	13	13	$407.03
D0274	Bitewings - four radiographic images	3.0%	13	13	$358.80

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.