Dental
Modaresi, Mina
Modaresi, Mina was paid $58K by Medicaid between Mar 2018 and Aug 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 28% of everything it billed.
33Billing provider infoMODARESI, MINA
STERLING, VA 20165
STERLING, VA 20165
33aNPI1073626818assigned 08/16/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$58K
24GClaims3,076
24DCodes billed11
24AFirst – last monthMar 2018 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#236 of 549
Median peer was paid$29K
This provider vs. median2.0×
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 | 198 | $4K | |
| 2019 | 195 | $3K | |
| 2020 | 211 | $5K | |
| 2021 | 381 | $11K | |
| 2022 | 549 | $18K | |
| 2023 | 1,060 | $17K | |
| 2024incomplete | 482 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 28% | 549 | 530 | $16K |
| D9630 | 25% | 983 | 953 | $14K | |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 475 | 454 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 564 | 543 | $8K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 119 | 108 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.2% | 187 | 173 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.4% | 36 | 25 | $824.64 |
| D0274 | Bitewings - four radiographic images | <1% | 53 | 53 | $430.56 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 42 | 42 | $377.78 |
| D2950 | 0% | 38 | 13 | $0.00 | |
| D2740 | Crown - porcelain/ceramic | 0% | 30 | 12 | $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.