Dental
Mostavi, Atefeh
Mostavi, Atefeh was paid $2.00M by Medicaid between Jun 2019 and Dec 2024, across 24 billing codes. Its largest line is D1110, Prophylaxis - adult — 15% of everything it billed.
33Billing provider infoMOSTAVI, ATEFEH
FLINT, MI 48504
FLINT, MI 48504
33aNPI1689939357assigned 07/09/2012
33bProvider typeDentist
28Total paid$2.00M
24GClaims34,171
24DCodes billed24
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#44 of 1,033
Median peer was paid$15K
This provider vs. median133×
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 | 709 | $36K | |
| 2020 | 4,384 | $244K | |
| 2021 | 7,071 | $319K | |
| 2022 | 6,866 | $304K | |
| 2023 | 8,107 | $444K | |
| 2024incomplete | 7,034 | $653K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 15% | 6,050 | 6,044 | $291K |
| D2750 | 13% | 458 | 272 | $250K | |
| D2740 | Crown - porcelain/ceramic | 12% | 477 | 289 | $242K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.6% | 2,593 | 1,744 | $193K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 8.4% | 1,812 | 1,257 | $168K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.1% | 2,895 | 1,630 | $162K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.6% | 4,323 | 4,320 | $111K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 3,120 | 3,120 | $93K |
| D0274 | Bitewings - four radiographic images | 4.1% | 3,213 | 3,207 | $81K |
| D0210 | Intraoral - complete series of radiographic images | 3.2% | 1,517 | 1,513 | $64K |
| D4341 | 3.2% | 1,246 | 580 | $63K | |
| D2331 | 3.2% | 790 | 573 | $63K |
12 more codes
| D2330 | 2.4% | 845 | $49K | |
| D2332 | 2.1% | 443 | $42K | |
| D3310 | 1.9% | 153 | $37K | |
| D0330 | Panoramic radiographic image | 1.4% | 835 | $27K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,362 | $18K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,499 | $15K |
| D3320 | <1% | 47 | $14K | |
| D2394 | <1% | 63 | $7K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 390 | $3K |
| D9944 | <1% | 13 | $2K | |
| D2335 | <1% | 13 | $2K | |
| D9110 | <1% | 14 | $361.30 |
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.