Managed care
Wahid Mistikawi Dba Greatwoods Family Dentistry
Wahid Mistikawi Dba Greatwoods Family Dentistry was paid $153K by Medicaid between Mar 2018 and Jan 2023, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.
33Billing provider infoWAHID MISTIKAWI DBA GREATWOODS FAMILY DENTISTRY
MANSFIELD, MA 02048
MANSFIELD, MA 02048
33aNPI1417399270assigned 07/22/2013
33bProvider typePreferred Provider Organization
28Total paid$153K
24GClaims4,151
24DCodes billed13
24AFirst – last monthMar 2018 – Jan 2023
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 | 918 | $34K | |
| 2019 | 837 | $30K | |
| 2020 | 664 | $22K | |
| 2021 | 866 | $33K | |
| 2022 | 842 | $33K | |
| 2023 | 24 | $888.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 40% | 1,287 | 1,184 | $62K |
| D9110 | 33% | 1,439 | 1,130 | $50K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 945 | 857 | $19K |
| D2751 | Crown - porcelain fused to predominantly base metal | 4.9% | 12 | 12 | $7K |
| D0274 | Bitewings - four radiographic images | 4.3% | 203 | 194 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 47 | 28 | $2K |
| D0330 | Panoramic radiographic image | 1.1% | 31 | 29 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 41 | 39 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 16 | 12 | $1K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | 12 | $847.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 41 | 39 | $533.00 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 12 | 12 | $348.00 |
1 more codes
| D1999 | 0% | 65 | $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.
From NPPES
Who's on the registration
Authorized officialMISTIKAWI, WAHID (DENTIST)