Dental
Khattab, Mostafa
Khattab, Mostafa was paid $94K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 26% of everything it billed.
33Billing provider infoKHATTAB, MOSTAFA
CORONA, CA 92882
CORONA, CA 92882
33aNPI1558428748assigned 01/03/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$94K
24GClaims4,030
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,583 of 2,668
Median peer was paid$173K
This provider vs. median0.5×
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 | 821 | $13K | |
| 2019 | 673 | $9K | |
| 2020 | 191 | $2K | |
| 2021 | 379 | $7K | |
| 2022 | 419 | $13K | |
| 2023 | 798 | $21K | |
| 2024incomplete | 749 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 464 | 462 | $24K |
| D1110 | Prophylaxis - adult | 14% | 146 | 145 | $13K |
| D2751 | Crown - porcelain fused to predominantly base metal | 11% | 21 | 14 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 9.6% | 199 | 198 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.0% | 145 | 144 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 8.5% | 639 | 636 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.2% | 1,960 | 979 | $8K |
| D0274 | Bitewings - four radiographic images | 5.3% | 247 | 246 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.9% | 55 | 40 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.2% | 74 | 74 | $2K |
| D2954 | 1.8% | 16 | 12 | $2K | |
| D9430 | <1% | 24 | 24 | $768.00 |
1 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 40 | $468.00 |
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.