Dental
Dandashi, Moutaz
Dandashi, Moutaz was paid $658K by Medicaid between Jan 2018 and Aug 2024, across 23 billing codes. Its largest line is D1351, Sealant - per tooth — 19% of everything it billed.
33Billing provider infoDANDASHI, MOUTAZ
BRIDGEVILLE, PA 15017
BRIDGEVILLE, PA 15017
33aNPI1588625289assigned 03/31/2006
33bProvider typePediatric Dentist
28Total paid$658K
24GClaims21,080
24DCodes billed23
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#31 of 237
Median peer was paid$109K
This provider vs. median6.0×
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 | 3,133 | $87K | |
| 2019 | 1,337 | $41K | |
| 2020 | 1,612 | $44K | |
| 2021 | 14,982 | $485K | |
| 2024incomplete | 16 | $291.42 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 19% | 5,257 | 1,224 | $127K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 1,281 | 631 | $82K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.4% | 2,008 | 1,996 | $62K |
| D1208 | Topical application of fluoride, excluding varnish | 7.6% | 2,735 | 2,708 | $50K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.9% | 2,192 | 2,167 | $45K |
| D1110 | Prophylaxis - adult | 5.6% | 958 | 954 | $37K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.5% | 371 | 202 | $36K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.7% | 711 | 689 | $31K |
| D0272 | Bitewings - two radiographic images | 4.7% | 1,791 | 1,775 | $31K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.5% | 596 | 366 | $30K |
| D0330 | Panoramic radiographic image | 3.5% | 598 | 590 | $23K |
| D8670 | Periodic orthodontic treatment visit | 3.5% | 211 | 211 | $23K |
11 more codes
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.1% | 280 | $21K |
| D0274 | Bitewings - four radiographic images | 2.8% | 664 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 829 | $18K |
| D7140 | Extraction, erupted tooth or exposed root | 1.9% | 181 | $13K |
| D2330 | <1% | 72 | $4K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 42 | $3K |
| D9110 | <1% | 61 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 193 | $2K |
| D2332 | <1% | 18 | $1K | |
| D2331 | <1% | 18 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 13 | $104.00 |
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.