Dental
Mansour, Mohammed
Mansour, Mohammed was paid $74K by Medicaid between Apr 2023 and Dec 2024, across 13 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 25% of everything it billed.
33Billing provider infoMANSOUR, MOHAMMED
FRANKLIN, WI 53132
FRANKLIN, WI 53132
33aNPI1932634425assigned 04/22/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$74K
24GClaims2,821
24DCodes billed13
24AFirst – last monthApr 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Wisconsin
Rank by total paid#74 of 208
Median peer was paid$26K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2023 | 943 | $23K | |
| 2024incomplete | 1,878 | $51K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 25% | 362 | 349 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 531 | 512 | $13K |
| D1110 | Prophylaxis - adult | 16% | 343 | 337 | $12K |
| D1206 | Topical application of fluoride varnish | 13% | 604 | 591 | $9K |
| D0274 | Bitewings - four radiographic images | 6.9% | 237 | 224 | $5K |
| D0330 | Panoramic radiographic image | 6.0% | 83 | 81 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 3.5% | 63 | 31 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.4% | 127 | 117 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 187 | 175 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.2% | 25 | 13 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.0% | 50 | 49 | $1K |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 78 | 75 | $1K |
1 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 131 | $876.39 |
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.