Maassarani, Sami

Maassarani, Sami was paid $62K by Medicaid between Apr 2018 and Feb 2020, across 9 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 25% of everything it billed.

33Billing provider infoMAASSARANI, SAMI
BIRMINGHAM, MI 48009

33aNPI1750469193assigned 11/02/2006

33bProvider typeDentist

28Total paid$62K

24GClaims1,814

24DCodes billed9

24AFirst – last monthApr 2018 – Feb 2020

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#325 of 1,033

Median peer was paid$15K

This provider vs. median4.1×

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
2018	1,009	$37K
2019	729	$23K
2020	76	$2K

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	25%	124	61	$15K
D1120	Dental cleaning, childProphylaxis - child	24%	378	378	$15K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	407	407	$11K
D1208	Topical application of fluoride, excluding varnish	16%	416	416	$10K
D2391	Resin-based composite - one surface, posterior, primary or permanent	6.4%	42	25	$4K
D0220	Intraoral - periapical first radiographic image	5.4%	205	203	$3K
D0230	Intraoral - periapical each additional radiographic image	2.6%	194	119	$2K
D1110	Prophylaxis - adult	1.8%	22	22	$1K
D0274	Bitewings - four radiographic images	1.4%	26	26	$888.00

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.