Dental
Kashmoula, Mohammed
Kashmoula, Mohammed was paid $454K by Medicaid between Oct 2018 and Dec 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.
33Billing provider infoKASHMOULA, MOHAMMED
CALUMET CITY, IL 60409
CALUMET CITY, IL 60409
33aNPI1306338199assigned 06/06/2018
33bProvider typeDentist
28Total paid$454K
24GClaims18,861
24DCodes billed21
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#317 of 1,099
Median peer was paid$160K
This provider vs. median2.8×
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 | 468 | $9K | |
| 2019 | 1,730 | $40K | |
| 2020 | 1,704 | $32K | |
| 2021 | 3,548 | $59K | |
| 2022 | 5,634 | $163K | |
| 2023 | 1,762 | $35K | |
| 2024incomplete | 4,015 | $115K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 1,597 | 1,547 | $65K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 2,152 | 2,082 | $59K |
| D4341 | 13% | 348 | 178 | $59K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.9% | 1,544 | 1,478 | $36K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 7.1% | 401 | 209 | $32K |
| D1110 | Prophylaxis - adult | 6.1% | 646 | 632 | $28K |
| D0140 | Limited oral evaluation - problem focused | 5.4% | 1,372 | 1,334 | $25K |
| D1208 | Topical application of fluoride, excluding varnish | 5.3% | 934 | 896 | $24K |
| D0274 | Bitewings - four radiographic images | 5.0% | 1,476 | 1,407 | $23K |
| D0220 | Intraoral - periapical first radiographic image | 4.5% | 3,490 | 3,305 | $21K |
| D0210 | Intraoral - complete series of radiographic images | 3.5% | 605 | 587 | $16K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.3% | 228 | 167 | $15K |
9 more codes
| D0330 | Panoramic radiographic image | 3.2% | 647 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.8% | 2,654 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.1% | 225 | $10K |
| D1206 | Topical application of fluoride varnish | 1.2% | 219 | $6K |
| D1351 | Sealant - per tooth | <1% | 47 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 44 | $4K |
| D9110 | <1% | 17 | $880.00 | |
| D0272 | Bitewings - two radiographic images | <1% | 83 | $738.72 |
| D0270 | <1% | 132 | $724.22 |
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.