Eghtessad, Michael

Eghtessad, Michael was paid $14K by Medicaid between May 2018 and Jul 2023, across 6 billing codes. Its largest line is D9920, — 70% of everything it billed.

33Billing provider infoEGHTESSAD, MICHAEL
ASHBURN, VA 20147

33aNPI1710044623assigned 01/02/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$14K

24GClaims352

24DCodes billed6

24AFirst – last monthMay 2018 – Jul 2023

Compared with peers

Next to other General Practice Dentistry providers in Virginia

Rank by total paid#334 of 549

Median peer was paid$29K

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	59	$3K
2019	75	$4K
2020	40	$2K
2021	135	$5K
2023	43	$393.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9920		70%	161	145	$10K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	105	104	$2K
D0274	Bitewings - four radiographic images	4.8%	25	24	$662.40
D1110	Prophylaxis - adult	4.1%	14	12	$566.28
D1208	Topical application of fluoride, excluding varnish	4.1%	27	27	$561.33
D1206	Topical application of fluoride varnish	2.6%	20	18	$353.43

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.