Khosousi, Mohammad

Khosousi, Mohammad was paid $220K by Medicaid between Jan 2018 and Apr 2019, across 26 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 16% of everything it billed.

33Billing provider infoKHOSOUSI, MOHAMMAD
LAS VEGAS, NV 89119

33aNPI1124394069assigned 03/26/2012

33bProvider typeDentist

28Total paid$220K

24GClaims7,703

24DCodes billed26

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other Dentist providers in Nevada

Rank by total paid#55 of 191

Median peer was paid$67K

This provider vs. median3.3×

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	7,608	$218K
2019	95	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	16%	1,199	1,082	$36K
D1351	Sealant - per tooth	12%	1,457	193	$26K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	11%	416	156	$25K
D1120	Dental cleaning, childProphylaxis - child	10%	429	395	$22K
D0210	Intraoral - complete series of radiographic images	9.7%	413	371	$21K
D1206	Topical application of fluoride varnish	9.5%	432	398	$21K
D0330	Panoramic radiographic image	6.3%	399	369	$14K
D0220	Intraoral - periapical first radiographic image	4.1%	565	524	$9K
D5214		3.3%	25	16	$7K
D0274	Bitewings - four radiographic images	3.3%	345	315	$7K
D5110		2.8%	22	13	$6K
D0230	Intraoral - periapical each additional radiographic image	2.4%	1,010	559	$5K

14 more codes

D7140	Extraction, erupted tooth or exposed root	2.3%	123	$5K
D0120	Dental checkup, returning patient	1.6%	156	$4K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1.5%	86	$3K
D0150	Comprehensive oral evaluation - new or established patient	<1%	69	$2K
D4355		<1%	44	$1K
D0270		<1%	112	$1K
D5820		<1%	20	$820.00
D0603		<1%	179	$700.00
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	16	$559.65
D0350		<1%	31	$553.50
D7311		<1%	69	$434.60
D1110	Prophylaxis - adult	<1%	18	$300.00
D0272	Bitewings - two radiographic images	<1%	14	$275.73
D0601		<1%	54	$220.00

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.