Dental
Moghadam, Maryam
Moghadam, Maryam was paid $148K by Medicaid between Jan 2018 and Apr 2022, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 41% of everything it billed.
33Billing provider infoMOGHADAM, MARYAM
EVANSTON, IL 60202
EVANSTON, IL 60202
33aNPI1306874029assigned 06/29/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$148K
24GClaims6,845
24DCodes billed9
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#471 of 1,017
Median peer was paid$123K
This provider vs. median1.2×
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 | 2,196 | $45K | |
| 2019 | 2,668 | $55K | |
| 2020 | 1,172 | $24K | |
| 2021 | 678 | $19K | |
| 2022 | 131 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 41% | 1,551 | 1,464 | $61K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 1,397 | 1,323 | $38K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 775 | 731 | $19K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.8% | 1,483 | 1,084 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 1,171 | 1,082 | $6K |
| D1351 | Sealant - per tooth | 3.4% | 79 | 50 | $5K |
| D0274 | Bitewings - four radiographic images | 3.3% | 300 | 279 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.7% | 47 | 25 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.4% | 42 | 26 | $2K |
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.