Dental
Rajabally, Mohamad
Rajabally, Mohamad was paid $115K by Medicaid between Apr 2022 and Oct 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.
33Billing provider infoRAJABALLY, MOHAMAD
NEWARK, CA 94560
NEWARK, CA 94560
33aNPI1952328502assigned 07/17/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$115K
24GClaims6,108
24DCodes billed10
24AFirst – last monthApr 2022 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,495 of 2,668
Median peer was paid$173K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2022 | 1,531 | $32K | |
| 2023 | 2,092 | $41K | |
| 2024incomplete | 2,485 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 22% | 285 | 277 | $25K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 321 | 314 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 300 | 299 | $19K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 3,242 | 650 | $13K |
| D0274 | Bitewings - four radiographic images | 9.7% | 521 | 513 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 8.5% | 650 | 639 | $10K |
| D0350 | 5.2% | 655 | 173 | $6K | |
| D1120 | Dental cleaning, childProphylaxis - child | 3.0% | 66 | 65 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.5% | 44 | 25 | $3K |
| D9430 | <1% | 24 | 24 | $768.00 |
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.