Ogunfusika, Mofolusara

Ogunfusika, Mofolusara was paid $12K by Medicaid between Oct 2019 and Mar 2022, across 9 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 21% of everything it billed.

33Billing provider infoOGUNFUSIKA, MOFOLUSARA
UPPER MARLBORO, MD 20772

33aNPI1740298371assigned 08/03/2006

33bProvider typeDentist

28Total paid$12K

24GClaims467

24DCodes billed9

24AFirst – last monthOct 2019 – Mar 2022

Compared with peers

Next to other Dentist providers in Maryland

Rank by total paid#285 of 415

Median peer was paid$47K

This provider vs. median0.3×

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	36	$444.00
2020	79	$2K
2021	212	$6K
2022	140	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	21%	104	104	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	19%	78	78	$2K
D0150	Comprehensive oral evaluation - new or established patient	18%	42	42	$2K
D1110	Prophylaxis - adult	13%	28	28	$2K
D1120	Dental cleaning, childProphylaxis - child	11%	32	32	$1K
D0220	Intraoral - periapical first radiographic image	5.5%	75	74	$675.00
D0330	Panoramic radiographic image	4.5%	13	13	$546.00
D0274	Bitewings - four radiographic images	4.3%	24	24	$528.00
D0230	Intraoral - periapical each additional radiographic image	3.5%	71	71	$426.00

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.