Dental
Shamsaie, Shayegan
Shamsaie, Shayegan was paid $3K by Medicaid between Apr 2018 and Aug 2021, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 80% of everything it billed.
33Billing provider infoSHAMSAIE, SHAYEGAN
PRINCETON, IN 47670
PRINCETON, IN 47670
33aNPI1992712533assigned 08/02/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$3K
24GClaims176
24DCodes billed2
24AFirst – last monthApr 2018 – Aug 2021
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#584 of 723
Median peer was paid$60K
This provider vs. median0.1×
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 | 43 | $180.64 | |
| 2019 | 34 | $501.26 | |
| 2020 | 56 | $1K | |
| 2021 | 43 | $977.67 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 80% | 159 | 141 | $2K |
| D1110 | Prophylaxis - adult | 20% | 17 | 12 | $582.57 |
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.