Rastakhiz, Ramtin

Rastakhiz, Ramtin was paid $24K by Medicaid between Jan 2018 and Jun 2019, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 33% of everything it billed.

33Billing provider infoRASTAKHIZ, RAMTIN
PALO ALTO, CA 94301

33aNPI1770727372assigned 04/27/2009

33bProvider typeDentist

28Total paid$24K

24GClaims620

24DCodes billed7

24AFirst – last monthJan 2018 – Jun 2019

Compared with peers

Next to other Dentist providers in California

Rank by total paid#1,717 of 2,314

Median peer was paid$185K

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	497	$20K
2019	123	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	33%	158	158	$8K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	28%	250	250	$7K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	17%	53	28	$4K
D0274	Bitewings - four radiographic images	9.7%	89	89	$2K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	7.3%	18	15	$2K
D0330	Panoramic radiographic image	3.9%	34	34	$943.10
D0230	Intraoral - periapical each additional radiographic image	<1%	18	14	$184.60

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.