Managed care
Daniel Moheban DMD PC
Daniel Moheban DMD PC was paid $1.26M by Medicaid between Jan 2018 and Sep 2020, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoDANIEL MOHEBAN DMD PC
WORCESTER, MA 01605
WORCESTER, MA 01605
33aNPI1114247301assigned 06/10/2010
33bProvider typeHealth Maintenance Organization
28Total paid$1.26M
24GClaims35,550
24DCodes billed22
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other Health Maintenance Organization providers in Massachusetts
Rank by total paid#4 of 11
Median peer was paid$658K
This provider vs. median1.9×
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 | 14,055 | $502K | |
| 2019 | 14,457 | $508K | |
| 2020 | 7,038 | $247K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 6,911 | 6,640 | $315K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 7,737 | 7,454 | $200K |
| D1208 | Topical application of fluoride, excluding varnish | 8.5% | 4,309 | 4,107 | $107K |
| D1206 | Topical application of fluoride varnish | 7.5% | 3,878 | 3,763 | $94K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.6% | 971 | 669 | $83K |
| D1110 | Prophylaxis - adult | 6.5% | 1,408 | 1,349 | $82K |
| D0272 | Bitewings - two radiographic images | 4.4% | 2,035 | 1,969 | $55K |
| D1351 | Sealant - per tooth | 3.7% | 1,370 | 369 | $46K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 853 | 826 | $45K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 588 | 394 | $44K |
| D0330 | Panoramic radiographic image | 3.1% | 544 | 510 | $38K |
| D0274 | Bitewings - four radiographic images | 2.9% | 956 | 923 | $36K |
10 more codes
| D7140 | Extraction, erupted tooth or exposed root | 2.3% | 365 | $29K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 1,383 | $24K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.2% | 79 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 1,031 | $14K |
| D0140 | Limited oral evaluation - problem focused | 1.0% | 306 | $13K |
| D9110 | <1% | 103 | $7K | |
| D2140 | <1% | 91 | $7K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 166 | $3K |
| D1999 | 0% | 131 | $0.00 | |
| D1330 | 0% | 335 | $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.
From NPPES
Who's on the registration
Authorized officialMOHEBAN, DANIEL (OWNER)