Dental
Khatami, Sedigheh
Khatami, Sedigheh was paid $29K by Medicaid between Jan 2018 and Dec 2018, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 30% of everything it billed.
33Billing provider infoKHATAMI, SEDIGHEH
TUSTIN, CA 92780
TUSTIN, CA 92780
33aNPI1831264985assigned 11/22/2006
33bProvider typeDentist
28Total paid$29K
24GClaims1,849
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,679 of 2,314
Median peer was paid$185K
This provider vs. median0.2×
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 | 1,849 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 255 | 255 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 156 | 156 | $5K |
| D1110 | Prophylaxis - adult | 15% | 65 | 65 | $4K |
| D0274 | Bitewings - four radiographic images | 11% | 160 | 160 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 305 | 304 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.5% | 698 | 223 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 7.4% | 198 | 177 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 12 | 12 | $420.00 |
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.