VAHEDI AND KHAKSHOOY DENTAL INCORPORATION
NPI: 1881979649
· INGLEWOOD, CA 90304
· Dentist
· NPI assigned 10/12/2011
$788K
Total Medicaid Paid
Provider Details
| Authorized Official | VAHEDI, SOHEIL (OWNER) |
| NPI Enumeration Date | 10/12/2011 |
Related Entities
Other providers sharing the same authorized official: VAHEDI, SOHEIL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,735 |
$138K |
| 2019 |
3,096 |
$113K |
| 2020 |
2,984 |
$101K |
| 2021 |
5,419 |
$175K |
| 2022 |
3,526 |
$92K |
| 2023 |
3,677 |
$94K |
| 2024 |
2,458 |
$76K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,840 |
804 |
$218K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,321 |
2,318 |
$143K |
| D0210 |
Intraoral - complete series of radiographic images |
2,270 |
2,260 |
$106K |
| D0120 |
Periodic oral evaluation - established patient |
1,802 |
1,793 |
$97K |
| D4910 |
|
725 |
725 |
$55K |
| D0230 |
Intraoral - periapical each additional radiographic image |
12,187 |
2,322 |
$52K |
| D1110 |
Prophylaxis - adult |
535 |
530 |
$47K |
| D1206 |
Topical application of fluoride varnish |
1,538 |
1,532 |
$24K |
| D0274 |
Bitewings - four radiographic images |
1,032 |
1,032 |
$22K |
| D4341 |
|
190 |
58 |
$10K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
68 |
28 |
$5K |
| D1120 |
Prophylaxis - child |
136 |
136 |
$4K |
| D9430 |
|
94 |
78 |
$3K |
| D4342 |
|
38 |
15 |
$2K |
| D1351 |
Sealant - per tooth |
40 |
12 |
$880.00 |
| D0220 |
Intraoral - periapical first radiographic image |
42 |
42 |
$392.70 |
| D0350 |
|
37 |
14 |
$216.00 |