Dental
Soudabeh Sharafi DMD INC.
Soudabeh Sharafi DMD INC. was paid $14K by Medicaid between Jan 2018 and Mar 2019, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 36% of everything it billed.
33Billing provider infoSOUDABEH SHARAFI DMD INC.
ESCONDIDO, CA 92027
ESCONDIDO, CA 92027
33aNPI1982081071assigned 04/28/2015
33bProvider typePediatric Dentist
28Total paid$14K
24GClaims956
24DCodes billed5
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#279 of 332
Median peer was paid$450K
This provider vs. median0.0×
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 | 637 | $10K | |
| 2019 | 319 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 36% | 168 | 168 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 83 | 83 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 18% | 356 | 158 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 172 | 172 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 14% | 177 | 163 | $2K |
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 officialSHARAFI, SOUDABEH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Del Mar Pediatric & Adolescents Dental Group | San Diego, CA | $44K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.