Dental
Rouie Miab, Golnesa
Rouie Miab, Golnesa was paid $87K by Medicaid between Sep 2021 and Jan 2022, across 17 billing codes. Its largest line is D0120, dental checkup, returning patient — 21% of everything it billed.
33Billing provider infoROUIE MIAB, GOLNESA
SAINT CHARLES, MO 63301
SAINT CHARLES, MO 63301
33aNPI1649840042assigned 06/28/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$87K
24GClaims4,183
24DCodes billed17
24AFirst – last monthSep 2021 – Jan 2022
Compared with peers
Next to other General Practice Dentistry providers in Missouri
Rank by total paid#125 of 260
Median peer was paid$78K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2021 | 3,389 | $59K | |
| 2022 | 794 | $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 | 21% | 900 | 807 | $18K |
| D1351 | Sealant - per tooth | 11% | 93 | 56 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | 10% | 228 | 144 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 264 | 239 | $9K |
| D1110 | Prophylaxis - adult | 8.6% | 248 | 237 | $8K |
| D4342 | 7.9% | 44 | 35 | $7K | |
| D0210 | Intraoral - complete series of radiographic images | 7.3% | 279 | 253 | $6K |
| D1206 | Topical application of fluoride varnish | 5.2% | 217 | 200 | $5K |
| D0330 | Panoramic radiographic image | 4.0% | 344 | 305 | $4K |
| D0274 | Bitewings - four radiographic images | 3.9% | 394 | 351 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.3% | 52 | 47 | $3K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.6% | 29 | 24 | $2K |
5 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 40 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 508 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.0% | 463 | $896.04 |
| D0140 | Limited oral evaluation - problem focused | <1% | 26 | $407.64 |
| D0272 | Bitewings - two radiographic images | <1% | 54 | $253.70 |
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.