Clinic
Khajadour Donabedian DDS INC
Khajadour Donabedian DDS INC was paid $78K by Medicaid between Sep 2020 and Nov 2024, across 9 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 40% of everything it billed.
33Billing provider infoKHAJADOUR DONABEDIAN DDS INC
PASADENA, CA 91107
PASADENA, CA 91107
33aNPI1801437520assigned 10/03/2019
33bProvider typeDental Clinic/Center
28Total paid$78K
24GClaims1,269
24DCodes billed9
24AFirst – last monthSep 2020 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#726 of 1,135
Median peer was paid$200K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2020 | 27 | $2K | |
| 2021 | 173 | $10K | |
| 2022 | 157 | $10K | |
| 2023 | 378 | $21K | |
| 2024incomplete | 534 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 40% | 475 | 471 | $31K |
| D1110 | Prophylaxis - adult | 19% | 167 | 167 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 151 | 150 | $11K |
| D4341 | 9.6% | 107 | 28 | $7K | |
| D0210 | Intraoral - complete series of radiographic images | 9.4% | 152 | 152 | $7K |
| D4910 | 6.3% | 66 | 66 | $5K | |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 66 | 65 | $786.00 |
| D0274 | Bitewings - four radiographic images | <1% | 31 | 31 | $648.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 54 | 24 | $218.70 |
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 officialDONABEDIAN, KHAJADOUR (DENTIST)