Clinic
Hamid Cohen Kheradyar, DDS, INC.
Hamid Cohen Kheradyar, DDS, INC. was paid $220K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D9430, — 26% of everything it billed.
33Billing provider infoHAMID COHEN KHERADYAR, DDS, INC.
SAN PEDRO, CA 90731
SAN PEDRO, CA 90731
33aNPI1891993036assigned 07/10/2007
33bProvider typeDental Clinic/Center
28Total paid$220K
24GClaims9,275
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#552 of 1,135
Median peer was paid$200K
This provider vs. median1.1×
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 | 1,412 | $24K | |
| 2019 | 1,407 | $40K | |
| 2020 | 953 | $19K | |
| 2021 | 1,395 | $26K | |
| 2022 | 1,464 | $29K | |
| 2023 | 1,508 | $54K | |
| 2024incomplete | 1,136 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9430 | 26% | 1,818 | 1,328 | $58K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 642 | 641 | $31K |
| D1110 | Prophylaxis - adult | 13% | 361 | 360 | $29K |
| D2751 | Crown - porcelain fused to predominantly base metal | 13% | 59 | 41 | $28K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.0% | 349 | 345 | $20K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.3% | 4,460 | 1,166 | $18K |
| D0220 | Intraoral - periapical first radiographic image | 4.6% | 864 | 826 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 2.9% | 142 | 142 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.7% | 181 | 178 | $6K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.0% | 37 | 15 | $4K |
| D0274 | Bitewings - four radiographic images | 1.7% | 184 | 183 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.0% | 33 | 14 | $2K |
3 more codes
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 officialKHERADYAR, HAMID (OWNER)