Dental
Keshmiri, Reza
Keshmiri, Reza was paid $32K by Medicaid between Jan 2020 and Dec 2022, across 20 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 43% of everything it billed.
33Billing provider infoKESHMIRI, REZA
GERMANTOWN, MD 20874
GERMANTOWN, MD 20874
33aNPI1003218009assigned 09/22/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$32K
24GClaims3,789
24DCodes billed20
24AFirst – last monthJan 2020 – Dec 2022
Compared with peers
Next to other General Practice Dentistry providers in Maryland
Rank by total paid#323 of 598
Median peer was paid$42K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2020 | 1,324 | $12K | |
| 2021 | 822 | $14K | |
| 2022 | 1,643 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 43% | 795 | 765 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 15% | 912 | 884 | $5K |
| D1110 | Prophylaxis - adult | 12% | 161 | 160 | $4K |
| D0274 | Bitewings - four radiographic images | 8.5% | 224 | 224 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.8% | 61 | 37 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.3% | 134 | 124 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.9% | 236 | 236 | $939.92 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 189 | 170 | $700.80 |
| D0210 | Intraoral - complete series of radiographic images | 2.1% | 28 | 28 | $682.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 46 | 29 | $280.00 |
| D0330 | Panoramic radiographic image | <1% | 42 | 42 | $168.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 27 | 14 | $0.00 |
8 more codes
| D1206 | Topical application of fluoride varnish | 0% | 170 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 78 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 52 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 99 | $0.00 |
| D1999 | 0% | 287 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 161 | $0.00 |
| D2930 | Prefabricated stainless steel crown - primary tooth | 0% | 62 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 25 | $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.