Agheli, Nastaran

Agheli, Nastaran was paid $52K by Medicaid between Feb 2024 and Jun 2024, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.

33Billing provider infoAGHELI, NASTARAN
BOURBONNAIS, IL 60914

33aNPI1821878786assigned 09/28/2023

33bProvider typeDentist

28Total paid$52K

24GClaims1,721

24DCodes billed16

24AFirst – last monthFeb 2024 – Jun 2024

Compared with peers

Next to other Dentist providers in Illinois

Rank by total paid#737 of 1,099

Median peer was paid$160K

This provider vs. median0.3×

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
2024incomplete	1,721	$52K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	17%	209	209	$9K
D1351	Sealant - per tooth	16%	99	57	$9K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	222	219	$6K
D1208	Topical application of fluoride, excluding varnish	10%	198	198	$5K
D4341		7.5%	23	14	$4K
D0150	Comprehensive oral evaluation - new or established patient	6.8%	140	140	$4K
D0274	Bitewings - four radiographic images	6.6%	179	176	$3K
D1110	Prophylaxis - adult	5.0%	54	54	$3K
D4342		4.4%	17	12	$2K
D7140	Extraction, erupted tooth or exposed root	3.6%	28	20	$2K
D0220	Intraoral - periapical first radiographic image	3.3%	261	253	$2K
D0230	Intraoral - periapical each additional radiographic image	2.7%	232	227	$1K

4 more codes

D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	2.3%	15	$1K
D0210	Intraoral - complete series of radiographic images	1.1%	16	$568.32
D0140	Limited oral evaluation - problem focused	<1%	12	$210.32
D0272	Bitewings - two radiographic images	<1%	16	$166.35

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.