Elham Mahdavi, DDS
Dentist · Santa Clara
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
Offices
1 location
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Mahdavi’s office at (310) 403-2494 to ask if they take your plan before you enroll.
California Medical Board record
Licence G59391 · Cancelled
Licence status: Cancelled · since 1987 · Medical University of South Carolina College of Medicine.
License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.
Matched on the licence number without its letter prefix; check the name before relying on it.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Medicaid work
$7,144 in 2022
Medicaid paid $7,144 for 357 billed services this clinician did in 2022, up to 21 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| Service | 35 | $3,035 |
| Service | 30 | $1,575 |
| Service | 199 | $806 |
| Service | 30 | $626 |
| Service | 15 | $480 |
| Service | 34 | $408 |
| Service | 14 | $214 |
| 2022 | 357 | 7 | 21 | $7,144 |
| 2021 | 1,177 | 11 | 21 | $20,158 |
| 2020 | 625 | 9 | 20 | $10,139 |
| 2019 | 831 | 9 | 28 | $27,547 |
See the largest Medicaid services in earlier years
2021
| Service | 114 | $4,163 |
| Service | 70 | $3,822 |
| Service | 566 | $2,282 |
| Service | 73 | $2,175 |
| Service | 61 | $1,944 |
| Service | 76 | $1,620 |
| Service | 115 | $1,371 |
| Service | 12 | $847 |
| Service | 12 | $792 |
| Service | 66 | $614 |
| Service | 12 | $528 |
2020
| Service | 77 | $2,464 |
| Service | 47 | $1,485 |
| Service | 45 | $1,350 |
| Service | 98 | $1,173 |
| Service | 273 | $1,150 |
| Service | 14 | $924 |
| Service | 32 | $691 |
| Service | 14 | $672 |
| Service | 25 | $230 |
2019
| Service | 135 | $8,630 |
| Service | 143 | $7,808 |
| Service | 118 | $3,776 |
| Service | 53 | $2,544 |
| Service | 153 | $1,836 |
| Service | 54 | $1,590 |
| Service | 124 | $502 |
| Service | 12 | $495 |
| Service | 39 | $366 |
Professional record
- NPI
- 1740594175
- Licence
- CA 59391California G59391: Cancelled
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 122300000X (122300000X)
- Mailing address
- 1516 Vista Club Cir, #301, Santa Clara, CA, 95054
- NPI first listed
- 2010-07-27
- NPI last updated
- 2010-10-12
This is when the NPI record was last certified, not a medical board exam.