Dental
Khoshkhou, Mahtab
Khoshkhou, Mahtab was paid $1.50M by Medicaid between Jan 2018 and Jan 2024, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoKHOSHKHOU, MAHTAB
MILLERSVILLE, MD 21108
MILLERSVILLE, MD 21108
33aNPI1669677852assigned 06/18/2007
33bProvider typePediatric Dentist
28Total paid$1.50M
24GClaims40,205
24DCodes billed23
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Pediatric Dentist providers in Maryland
Rank by total paid#48 of 150
Median peer was paid$536K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2018 | 6,485 | $297K | |
| 2019 | 7,651 | $299K | |
| 2020 | 4,860 | $153K | |
| 2021 | 7,188 | $262K | |
| 2022 | 6,991 | $241K | |
| 2023 | 6,859 | $241K | |
| 2024incomplete | 171 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 5,871 | 5,813 | $250K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 1,840 | 1,057 | $222K |
| D1206 | Topical application of fluoride varnish | 12% | 7,473 | 7,392 | $184K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 6,111 | 6,043 | $178K |
| D1351 | Sealant - per tooth | 8.8% | 4,014 | 939 | $132K |
| D0140 | Limited oral evaluation - problem focused | 6.9% | 2,379 | 2,139 | $104K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.7% | 560 | 261 | $86K |
| D7140 | Extraction, erupted tooth or exposed root | 4.7% | 684 | 363 | $71K |
| D9248 | 2.7% | 216 | 198 | $40K | |
| D0272 | Bitewings - two radiographic images | 2.6% | 2,574 | 2,540 | $39K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.4% | 2,022 | 1,810 | $37K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.4% | 390 | 252 | $36K |
11 more codes
| D1110 | Prophylaxis - adult | 2.0% | 502 | $29K |
| D3120 | 1.4% | 607 | $21K | |
| D1330 | 1.4% | 3,422 | $21K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 377 | $19K |
| D0330 | Panoramic radiographic image | 1.0% | 359 | $15K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 496 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 19 | $3K |
| D4355 | <1% | 26 | $3K | |
| D0274 | Bitewings - four radiographic images | <1% | 89 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 116 | $1K |
| D0240 | <1% | 58 | $585.00 |
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.