M Moheban DMD PC

M Moheban DMD PC was paid $30K by Medicaid between Jan 2018 and Aug 2020, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 77% of everything it billed.

33Billing provider infoM MOHEBAN DMD PC
NORTHBOROUGH, MA 01532

33aNPI1326207796assigned 06/02/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$30K

24GClaims825

24DCodes billed2

24AFirst – last monthJan 2018 – Aug 2020

Compared with peers

Next to other General Practice Dentistry providers in Massachusetts

Rank by total paid#445 of 693

Median peer was paid$87K

This provider vs. median0.3×

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	442	$15K
2019	359	$13K
2020	24	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	77%	487	453	$23K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	338	320	$7K

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.

From NPPES

Who's on the registration

Authorized officialMOHEBAN, MANSOUR (PRESIDENT)