Mounessa, Flora

Mounessa, Flora was paid $4K by Medicaid between Mar 2021 and Mar 2021, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 33% of everything it billed.

33Billing provider infoMOUNESSA, FLORA
HOLLIS, NY 11423

33aNPI1326007667assigned 03/23/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$4K

24GClaims148

24DCodes billed7

24AFirst – last monthMar 2021 – Mar 2021

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#1,756 of 2,184

Median peer was paid$54K

This provider vs. median0.1×

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
2021	148	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	33%	32	32	$1K
D0210	Intraoral - complete series of radiographic images	21%	20	20	$844.50
D0150	Comprehensive oral evaluation - new or established patient	11%	22	22	$455.25
D0220	Intraoral - periapical first radiographic image	11%	24	24	$438.50
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	20	20	$425.25
D0274	Bitewings - four radiographic images	9.1%	17	17	$362.00
D1208	Topical application of fluoride, excluding varnish	3.4%	13	13	$136.50

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.