Safa Mohd Shamshuddin, Safa Noureen Shams

Safa Mohd Shamshuddin, Safa Noureen Shams was paid $86K by Medicaid between Mar 2018 and May 2021, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.

33Billing provider infoSAFA MOHD SHAMSHUDDIN, SAFA NOUREEN SHAMS
DES MOINES, IA 50315

33aNPI1881104933assigned 10/03/2017

33bProvider typeDentist

28Total paid$86K

24GClaims3,363

24DCodes billed19

24AFirst – last monthMar 2018 – May 2021

Compared with peers

Next to other Dentist providers in Iowa

Rank by total paid#87 of 268

Median peer was paid$26K

This provider vs. median3.2×

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	2,743	$73K
2019	604	$12K
2021	16	$415.00

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	21%	330	200	$18K
D1120	Dental cleaning, childProphylaxis - child	15%	562	562	$13K
D2930	Prefabricated stainless steel crown - primary tooth	12%	91	46	$10K
D2391	Resin-based composite - one surface, posterior, primary or permanent	11%	194	120	$9K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	10%	392	392	$9K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	6.3%	156	81	$5K
D1208	Topical application of fluoride, excluding varnish	4.4%	433	433	$4K
D0150	Comprehensive oral evaluation - new or established patient	3.9%	108	108	$3K
D0140	Limited oral evaluation - problem focused	3.3%	122	120	$3K
D7140	Extraction, erupted tooth or exposed root	2.4%	69	46	$2K
D1206	Topical application of fluoride varnish	2.3%	111	111	$2K
D1351	Sealant - per tooth	2.0%	161	39	$2K

7 more codes

D0603		1.7%	143	$1K
D0220	Intraoral - periapical first radiographic image	1.1%	162	$960.00
D0273		<1%	105	$781.69
D0230	Intraoral - periapical each additional radiographic image	<1%	109	$558.00
D0272	Bitewings - two radiographic images	<1%	69	$551.50
D0274	Bitewings - four radiographic images	<1%	27	$405.00
D0330	Panoramic radiographic image	<1%	19	$180.00

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.