Dental
Ali Modiri DDS PC
Ali Modiri DDS PC was paid $317K by Medicaid between Jan 2018 and Apr 2023, across 18 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 16% of everything it billed.
33Billing provider infoALI MODIRI DDS PC
STAMFORD, CT 06902
STAMFORD, CT 06902
33aNPI1114218427assigned 04/21/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$317K
24GClaims15,249
24DCodes billed18
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#128 of 431
Median peer was paid$79K
This provider vs. median4.0×
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 | 2,505 | $55K | |
| 2019 | 2,991 | $60K | |
| 2020 | 2,954 | $60K | |
| 2021 | 3,989 | $84K | |
| 2022 | 2,505 | $51K | |
| 2023 | 305 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 16% | 1,886 | 1,792 | $50K |
| D1110 | Prophylaxis - adult | 12% | 1,335 | 1,248 | $39K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 3,952 | 1,822 | $39K |
| D0330 | Panoramic radiographic image | 12% | 767 | 702 | $38K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 1,516 | 1,432 | $32K |
| D0220 | Intraoral - periapical first radiographic image | 9.9% | 2,754 | 2,132 | $31K |
| D1206 | Topical application of fluoride varnish | 7.4% | 1,312 | 1,249 | $24K |
| D0140 | Limited oral evaluation - problem focused | 6.8% | 782 | 702 | $22K |
| D0470 | 3.7% | 213 | 200 | $12K | |
| D1120 | Dental cleaning, childProphylaxis - child | 3.7% | 288 | 270 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 212 | 202 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 96 | 93 | $4K |
6 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 30 | $2K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 13 | $2K |
| D2394 | <1% | 14 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 20 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 44 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 15 | $795.60 |
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.
From NPPES
Who's on the registration
Authorized officialMODIRI, ALI (PRESIDENT)