Dental
Faraz Edalatpajouh Dental INC
Faraz Edalatpajouh Dental INC was paid $288K by Medicaid between May 2024 and Dec 2024, across 27 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 21% of everything it billed.
33Billing provider infoFARAZ EDALATPAJOUH DENTAL INC
GARDENA, CA 90247
GARDENA, CA 90247
33aNPI1841051182assigned 01/23/2024
33bProvider typeDentist
28Total paid$288K
24GClaims6,617
24DCodes billed27
24AFirst – last monthMay 2024 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#990 of 2,314
Median peer was paid$185K
This provider vs. median1.6×
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 | 6,617 | $288K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 21% | 910 | 910 | $60K |
| D2751 | Crown - porcelain fused to predominantly base metal | 13% | 80 | 63 | $38K |
| D1351 | Sealant - per tooth | 13% | 984 | 217 | $37K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 645 | 645 | $31K |
| D4341 | 10.0% | 410 | 110 | $29K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.7% | 287 | 127 | $19K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.5% | 311 | 311 | $16K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.7% | 89 | 34 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 104 | 59 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 1.9% | 367 | 367 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 1,379 | 283 | $5K |
| D4342 | 1.4% | 97 | 33 | $4K |
15 more codes
| D1110 | Prophylaxis - adult | 1.4% | 44 | $4K |
| D0350 | 1.1% | 324 | $3K | |
| D4910 | <1% | 34 | $3K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 26 | $3K |
| D2954 | <1% | 21 | $2K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 31 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 44 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 133 | $2K |
| D9430 | <1% | 44 | $1K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 40 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 54 | $1K |
| D0330 | Panoramic radiographic image | <1% | 72 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 19 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 44 | $528.00 |
| D1206 | Topical application of fluoride varnish | <1% | 24 | $430.00 |
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.
From NPPES
Who's on the registration
Authorized officialEDALATPAJOUH, FARAZ (OWNER)