Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Merdad, Hisham

Merdad, Hisham was paid $859K by Medicaid between Apr 2018 and Jan 2024, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.

33Billing provider infoMERDAD, HISHAM
FALLS CHURCH, VA 22042
33aNPI1144656356assigned 09/19/2013
33bProvider typePediatric Dentist
28Total paid$859K
24GClaims25,872
24DCodes billed20
24AFirst – last monthApr 2018 – Jan 2024
Compared with peers

Next to other Pediatric Dentist providers in Virginia

Rank by total paid#40 of 140
Median peer was paid$234K
This provider vs. median3.7×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20181,096$35K
20193,304$107K
20204,081$148K
20217,259$245K
20226,356$239K
20233,721$85K
2024incomplete55$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 18% 4,662 4,594 $152K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 13% 1,316 771 $114K
D1206 Topical application of fluoride varnish 13% 5,572 5,487 $112K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 10% 4,499 4,430 $88K
D9920 10% 1,331 1,279 $86K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 5.9% 1,577 1,367 $51K
D1351 Sealant - per tooth 5.7% 1,580 475 $49K
D2930 Prefabricated stainless steel crown - primary tooth 5.3% 333 155 $46K
D0272 Bitewings - two radiographic images 4.5% 1,947 1,922 $39K
D1110 Prophylaxis - adult 4.0% 742 728 $34K
D0150 Comprehensive oral evaluation - new or established patient 3.6% 1,018 1,000 $31K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.3% 374 261 $28K
8 more codes
D0140 Limited oral evaluation - problem focused <1% 344 $8K
D7140 Extraction, erupted tooth or exposed root <1% 101 $7K
D0274 Bitewings - four radiographic images <1% 230 $6K
D0330 Panoramic radiographic image <1% 95 $5K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 27 $2K
D0210 Intraoral - complete series of radiographic images <1% 25 $678.30
D0220 Intraoral - periapical first radiographic image <1% 59 $659.62
D0240 <1% 40 $490.80

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.