Bastani, Nickie

Bastani, Nickie was paid $86K by Medicaid between Jan 2018 and Apr 2019, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.

33Billing provider infoBASTANI, NICKIE
FAIRFAX, VA 22033

33aNPI1801140892assigned 10/30/2012

33bProvider typeGeneral Practice Dentistry

28Total paid$86K

24GClaims1,696

24DCodes billed16

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other General Practice Dentistry providers in Virginia

Rank by total paid#206 of 549

Median peer was paid$29K

This provider vs. median2.9×

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	1,669	$86K
2019	27	$41.25

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	18%	126	79	$16K
D2930	Prefabricated stainless steel crown - primary tooth	16%	69	53	$13K
D1120	Dental cleaning, childProphylaxis - child	13%	271	268	$11K
D1206	Topical application of fluoride varnish	8.5%	272	269	$7K
D2391	Resin-based composite - one surface, posterior, primary or permanent	7.8%	68	41	$7K
D7140	Extraction, erupted tooth or exposed root	7.5%	77	52	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	7.0%	187	185	$6K
D0150	Comprehensive oral evaluation - new or established patient	6.7%	91	91	$6K
D0272	Bitewings - two radiographic images	2.7%	85	84	$2K
D1351	Sealant - per tooth	2.6%	70	30	$2K
D0240		2.5%	102	50	$2K
D0220	Intraoral - periapical first radiographic image	2.5%	110	110	$2K

4 more codes

D0230	Intraoral - periapical each additional radiographic image	2.0%	126	$2K
D0210	Intraoral - complete series of radiographic images	1.4%	13	$1K
D0145	Oral evaluation for a patient under three years of age	<1%	17	$688.00
D1208	Topical application of fluoride, excluding varnish	<1%	12	$360.00

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.