David N Moheban DMD LLC

David N Moheban DMD LLC was paid $68K by Medicaid between Dec 2020 and Nov 2024, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 70% of everything it billed.

33Billing provider infoDAVID N MOHEBAN DMD LLC
WESTBOROUGH, MA 01581

33aNPI1740809201assigned 04/14/2020

33bProvider typeDental Clinic/Center

28Total paid$68K

24GClaims1,817

24DCodes billed7

24AFirst – last monthDec 2020 – Nov 2024

Compared with peers

Next to other Dental Clinic/Center providers in Massachusetts

Rank by total paid#205 of 307

Median peer was paid$245K

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
2020	14	$630.00
2021	288	$12K
2022	510	$21K
2023	560	$19K
2024incomplete	445	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	70%	965	888	$48K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	20%	657	604	$14K
D0274	Bitewings - four radiographic images	3.1%	64	59	$2K
D0150	Comprehensive oral evaluation - new or established patient	2.7%	44	39	$2K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.2%	25	12	$1K
D0210	Intraoral - complete series of radiographic images	1.1%	13	12	$759.00
D0220	Intraoral - periapical first radiographic image	<1%	49	45	$657.00

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.

From NPPES

Who's on the registration

Authorized officialMOHEBAN, DAVID (DENTIST OWNER)