Dental
Khurrum Mirza DDS PC
Khurrum Mirza DDS PC was paid $13K by Medicaid between Aug 2020 and Sep 2024, across 9 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 32% of everything it billed.
33Billing provider infoKHURRUM MIRZA DDS PC
MONROE, MI 48162
MONROE, MI 48162
33aNPI1396354106assigned 07/28/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$13K
24GClaims457
24DCodes billed9
24AFirst – last monthAug 2020 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#792 of 1,554
Median peer was paid$15K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2020 | 111 | $2K | |
| 2022 | 86 | $2K | |
| 2023 | 24 | $481.68 | |
| 2024incomplete | 236 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 32% | 34 | 16 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 19% | 147 | 142 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 83 | 83 | $2K |
| D1206 | Topical application of fluoride varnish | 8.8% | 51 | 51 | $1K |
| D0274 | Bitewings - four radiographic images | 6.3% | 25 | 25 | $840.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 5.4% | 80 | 41 | $726.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.6% | 13 | 13 | $611.00 |
| D0140 | Limited oral evaluation - problem focused | 4.1% | 12 | 12 | $552.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 3.6% | 12 | 12 | $479.00 |
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.
From NPPES
Who's on the registration
Authorized officialHAMPTON, DEMOREE (OFFICE MANAGER)