Dental
Sadre-Nassiri, Alireza
Sadre-Nassiri, Alireza was paid $566K by Medicaid between Jan 2018 and Oct 2021, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoSADRE-NASSIRI, ALIREZA
LAKEPORT, CA 95453
LAKEPORT, CA 95453
33aNPI1740544303assigned 06/28/2012
33bProvider typeDentist
28Total paid$566K
24GClaims18,860
24DCodes billed23
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Dentist providers in California
Rank by total paid#742 of 2,314
Median peer was paid$185K
This provider vs. median3.1×
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 | 8,526 | $280K | |
| 2019 | 7,406 | $228K | |
| 2020 | 1,580 | $31K | |
| 2021 | 1,348 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 2,678 | 2,677 | $106K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 1,072 | 644 | $69K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 2,402 | 2,401 | $64K |
| D1351 | Sealant - per tooth | 9.7% | 1,369 | 459 | $55K |
| D0274 | Bitewings - four radiographic images | 7.0% | 1,481 | 1,481 | $39K |
| D0220 | Intraoral - periapical first radiographic image | 6.2% | 2,721 | 2,705 | $35K |
| D1206 | Topical application of fluoride varnish | 5.7% | 1,198 | 1,197 | $32K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.0% | 265 | 188 | $28K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.7% | 549 | 363 | $26K |
| D1208 | Topical application of fluoride, excluding varnish | 4.3% | 1,903 | 1,903 | $24K |
| D1110 | Prophylaxis - adult | 4.0% | 422 | 422 | $22K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.8% | 264 | 188 | $21K |
11 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 420 | $11K |
| D0272 | Bitewings - two radiographic images | 2.0% | 738 | $11K |
| D0330 | Panoramic radiographic image | 1.3% | 427 | $7K |
| D0145 | Oral evaluation for a patient under three years of age | 1.1% | 224 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 550 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 14 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 13 | $729.00 |
| D0140 | Limited oral evaluation - problem focused | <1% | 31 | $399.00 |
| D1999 | 0% | 45 | $0.00 | |
| D1330 | 0% | 50 | $0.00 | |
| D0603 | 0% | 24 | $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.