Dental
Diba Dastajerdi DMD PC
Diba Dastajerdi DMD PC was paid $5.08M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 26% of everything it billed.
33Billing provider infoDIBA DASTAJERDI DMD PC
BOSTON, MA 02115
BOSTON, MA 02115
33aNPI1952703480assigned 09/16/2014
33bProvider typeDentist
28Total paid$5.08M
24GClaims84,157
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Massachusetts
Rank by total paid#8 of 413
Median peer was paid$93K
This provider vs. median55×
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 | 9,254 | $405K | |
| 2019 | 10,617 | $441K | |
| 2020 | 7,536 | $315K | |
| 2021 | 10,725 | $488K | |
| 2022 | 14,739 | $1.01M | |
| 2023 | 15,329 | $1.12M | |
| 2024incomplete | 15,957 | $1.30M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 26% | 1,920 | 1,099 | $1.32M |
| D1110 | Prophylaxis - adult | 11% | 10,590 | 10,361 | $580K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 5,761 | 3,301 | $543K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.9% | 6,036 | 5,942 | $300K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.4% | 10,773 | 10,582 | $274K |
| D1208 | Topical application of fluoride, excluding varnish | 5.3% | 9,482 | 9,340 | $268K |
| D1351 | Sealant - per tooth | 4.8% | 6,348 | 2,075 | $243K |
| D0274 | Bitewings - four radiographic images | 4.7% | 6,480 | 6,371 | $240K |
| D0210 | Intraoral - complete series of radiographic images | 4.6% | 3,149 | 3,070 | $236K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.4% | 3,071 | 1,910 | $223K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 2,744 | 2,688 | $135K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.0% | 1,084 | 784 | $103K |
18 more codes
| D0272 | Bitewings - two radiographic images | 2.0% | 3,652 | $101K |
| D7140 | Extraction, erupted tooth or exposed root | 1.5% | 816 | $78K |
| D9110 | 1.3% | 1,721 | $66K | |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 4,002 | $62K |
| D0330 | Panoramic radiographic image | 1.1% | 1,039 | $55K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 1,385 | $54K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 1.0% | 78 | $53K |
| D2954 | <1% | 204 | $37K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 3,143 | $37K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 179 | $36K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 71 | $6K |
| D7111 | <1% | 73 | $6K | |
| D3120 | <1% | 131 | $5K | |
| D2330 | <1% | 58 | $5K | |
| D4211 | <1% | 46 | $5K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 91 | $2K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 17 | $2K |
| D1999 | 0% | 13 | $0.00 |
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 officialDASTAJERDI, DIBA (OWNER)