Mokhayesh, Samar

Mokhayesh, Samar was paid $20K by Medicaid between Jan 2018 and Mar 2018, across 9 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 18% of everything it billed.

33Billing provider infoMOKHAYESH, SAMAR
CHESTERFIELD, MI 48047

33aNPI1972653244assigned 01/11/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$20K

24GClaims575

24DCodes billed9

24AFirst – last monthJan 2018 – Mar 2018

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#697 of 1,554

Median peer was paid$15K

This provider vs. median1.4×

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	575	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2391	Resin-based composite - one surface, posterior, primary or permanent	18%	39	25	$4K
D1120	Dental cleaning, childProphylaxis - child	18%	95	95	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	113	113	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	13%	21	12	$3K
D1208	Topical application of fluoride, excluding varnish	12%	101	101	$2K
D0274	Bitewings - four radiographic images	8.2%	47	47	$2K
D1110	Prophylaxis - adult	8.0%	31	31	$2K
D0220	Intraoral - periapical first radiographic image	5.5%	67	67	$1K
D0230	Intraoral - periapical each additional radiographic image	2.7%	61	59	$534.00

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.