Dental
Mansour, Haifa
Mansour, Haifa was paid $196K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 31% of everything it billed.
33Billing provider infoMANSOUR, HAIFA
STERLING HEIGHTS, MI 48313
STERLING HEIGHTS, MI 48313
33aNPI1013005214assigned 10/11/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$196K
24GClaims6,386
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#256 of 1,554
Median peer was paid$15K
This provider vs. median14×
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 | 1,829 | $39K | |
| 2019 | 1,842 | $41K | |
| 2020 | 12 | $487.94 | |
| 2021 | 20 | $2K | |
| 2022 | 42 | $1K | |
| 2023 | 1,524 | $76K | |
| 2024incomplete | 1,117 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 31% | 712 | 358 | $62K |
| D1110 | Prophylaxis - adult | 18% | 952 | 939 | $35K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 9.9% | 200 | 105 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.7% | 742 | 738 | $15K |
| D0210 | Intraoral - complete series of radiographic images | 7.1% | 267 | 256 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 6.3% | 1,137 | 1,025 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 325 | 319 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.2% | 131 | 65 | $8K |
| D0274 | Bitewings - four radiographic images | 3.1% | 297 | 289 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 1,392 | 531 | $6K |
| D0140 | Limited oral evaluation - problem focused | 2.5% | 188 | 173 | $5K |
| D4341 | 2.0% | 31 | 14 | $4K |
1 more codes
| D0180 | <1% | 12 | $523.92 |
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.