Dental
Alrata, Mamdouh
Alrata, Mamdouh was paid $1.25M by Medicaid between Jan 2018 and Apr 2021, across 26 billing codes. Its largest line is D1351, Sealant - per tooth — 14% of everything it billed.
33Billing provider infoALRATA, MAMDOUH
WASHINGTON, MO 63090
WASHINGTON, MO 63090
33aNPI1902321367assigned 08/07/2017
33bProvider typeDentist
28Total paid$1.25M
24GClaims46,532
24DCodes billed26
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Dentist providers in Missouri
Rank by total paid#11 of 284
Median peer was paid$109K
This provider vs. median12×
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 | 15,059 | $350K | |
| 2019 | 15,305 | $438K | |
| 2020 | 11,828 | $337K | |
| 2021 | 4,340 | $128K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 14% | 3,153 | 1,211 | $174K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 12% | 1,745 | 790 | $148K |
| D1110 | Prophylaxis - adult | 11% | 3,732 | 3,480 | $137K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.6% | 3,188 | 2,951 | $120K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.0% | 4,354 | 3,866 | $113K |
| D0330 | Panoramic radiographic image | 6.1% | 3,953 | 3,684 | $76K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.9% | 3,726 | 3,487 | $74K |
| D7140 | Extraction, erupted tooth or exposed root | 5.9% | 1,113 | 504 | $74K |
| D1206 | Topical application of fluoride varnish | 5.7% | 3,063 | 2,841 | $71K |
| D5110 | 4.4% | 149 | 138 | $55K | |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 5,871 | 5,412 | $30K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.1% | 460 | 346 | $27K |
14 more codes
| D0274 | Bitewings - four radiographic images | 2.1% | 1,681 | $27K |
| D5120 | 1.8% | 62 | $22K | |
| D0210 | Intraoral - complete series of radiographic images | 1.6% | 2,484 | $20K |
| D2332 | 1.4% | 207 | $17K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.1% | 238 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 4,244 | $14K |
| D0272 | Bitewings - two radiographic images | <1% | 1,401 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 198 | $10K |
| D0140 | Limited oral evaluation - problem focused | <1% | 671 | $10K |
| D4342 | <1% | 39 | $3K | |
| D4341 | <1% | 19 | $3K | |
| D2331 | <1% | 25 | $3K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 42 | $986.25 |
| D1999 | 0% | 714 | $0.00 |
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.