Dental
Mohsen-Pour, Shima
Mohsen-Pour, Shima was paid $22K by Medicaid between Jul 2020 and Jul 2020, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.
33Billing provider infoMOHSEN-POUR, SHIMA
HOBBS, NM 88240
HOBBS, NM 88240
33aNPI1295389468assigned 07/26/2019
33bProvider typeDentist
28Total paid$22K
24GClaims1,235
24DCodes billed12
24AFirst – last monthJul 2020 – Jul 2020
Compared with peers
Next to other Dentist providers in New Mexico
Rank by total paid#110 of 179
Median peer was paid$47K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2020 | 1,235 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 155 | 108 | $6K |
| D1206 | Topical application of fluoride varnish | 18% | 156 | 110 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 126 | 88 | $3K |
| D1351 | Sealant - per tooth | 12% | 35 | 15 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.3% | 55 | 40 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 4.4% | 175 | 126 | $968.80 |
| D0274 | Bitewings - four radiographic images | 4.3% | 58 | 43 | $946.40 |
| D0272 | Bitewings - two radiographic images | 4.0% | 95 | 67 | $883.60 |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 167 | 121 | $668.80 |
| D1110 | Prophylaxis - adult | 2.8% | 16 | 12 | $615.00 |
| D0140 | Limited oral evaluation - problem focused | 1.7% | 24 | 16 | $372.60 |
| D1999 | 0% | 173 | 107 | $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.