Dental
Jahansouz, Maryam
Jahansouz, Maryam was paid $418K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is D1110, Prophylaxis - adult — 17% of everything it billed.
33Billing provider infoJAHANSOUZ, MARYAM
TEANECK, NJ 07666
TEANECK, NJ 07666
33aNPI1366509010assigned 01/02/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$418K
24GClaims35,331
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#132 of 790
Median peer was paid$43K
This provider vs. median9.8×
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 | 5,449 | $100K | |
| 2019 | 5,439 | $118K | |
| 2020 | 4,728 | $69K | |
| 2021 | 5,261 | $34K | |
| 2022 | 6,036 | $37K | |
| 2023 | 5,543 | $37K | |
| 2024incomplete | 2,875 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 17% | 6,272 | 6,090 | $72K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 3,154 | 2,030 | $65K |
| D2750 | 12% | 223 | 167 | $52K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 2,482 | 1,504 | $45K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.7% | 6,000 | 5,864 | $41K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 8.6% | 1,320 | 959 | $36K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.0% | 2,666 | 2,611 | $25K |
| D0140 | Limited oral evaluation - problem focused | 4.3% | 1,776 | 1,685 | $18K |
| D0274 | Bitewings - four radiographic images | 4.0% | 4,404 | 4,284 | $17K |
| D0330 | Panoramic radiographic image | 3.8% | 1,444 | 1,417 | $16K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.3% | 1,580 | 1,565 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | 2.1% | 1,791 | 1,776 | $9K |
9 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,552 | $3K |
| D9110 | <1% | 187 | $2K | |
| D2954 | <1% | 34 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 252 | $772.75 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 110 | $720.00 |
| D2332 | <1% | 37 | $647.50 | |
| D2331 | <1% | 18 | $447.50 | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 17 | $410.00 |
| D0601 | 0% | 12 | $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.