Model Dental Clinic

Model Dental Clinic was paid $35K by Medicaid between Aug 2019 and Oct 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 43% of everything it billed.

33Billing provider infoMODEL DENTAL CLINIC
COLUMBIA, MD 21046

33aNPI1548392152assigned 03/09/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$35K

24GClaims674

24DCodes billed6

24AFirst – last monthAug 2019 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Maryland

Rank by total paid#317 of 598

Median peer was paid$42K

This provider vs. median0.8×

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
2019	12	$566.50
2023	539	$29K
2024incomplete	123	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	43%	233	229	$15K
D0150	Comprehensive oral evaluation - new or established patient	19%	118	117	$6K
D0210	Intraoral - complete series of radiographic images	13%	82	81	$5K
D1208	Topical application of fluoride, excluding varnish	10%	150	149	$4K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	9.4%	26	12	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	5.9%	65	65	$2K

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 officialATAPOUR, ROGHIEH (OWNER DENTIST)