Mostatab, Rebecca

Mostatab, Rebecca was paid $3K by Medicaid between Feb 2021 and Mar 2021, across 5 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 53% of everything it billed.

33Billing provider infoMOSTATAB, REBECCA
RIVERTON, UT 84096

33aNPI1730278946assigned 10/12/2006

33bProvider typeDentist

28Total paid$3K

24GClaims107

24DCodes billed5

24AFirst – last monthFeb 2021 – Mar 2021

Compared with peers

Next to other Dentist providers in Utah

Rank by total paid#114 of 136

Median peer was paid$35K

This provider vs. median0.1×

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	107	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	53%	24	14	$1K
D1110	Prophylaxis - adult	17%	14	14	$463.94
D0274	Bitewings - four radiographic images	16%	16	16	$427.07
D0220	Intraoral - periapical first radiographic image	9.9%	38	36	$265.37
D0230	Intraoral - periapical each additional radiographic image	4.2%	15	15	$114.03

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.