MOHAMMAD KHOSOUSI, D.D.S
2285 E FLAMINGO RD 101, LAS VEGAS, NV 89119
NPI Number
1124394069
Practice location · View on Google Maps
Total Medicaid Payments
$220,356
-38% vs specialty average
Patients Seen
5,161
Total Claims
7,703
$ Per Patient
$43
Specialty avg: $34
Specialty Rank
#52 of 180
Dentist providers in Nevada
Peer Average
$355,999
Average total for Dentist
Claims per Patient
1.5
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $218,327 | |
| 2019 | $2,029 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 1,199 | $35,500 | 16.1% | $30 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 1,457 | $25,903 | 11.8% | $18 |
| D7210 | Surgical tooth extraction — requires cutting into gum or removing bone | 416 | $25,265 | 11.5% | $61 |
| D1120 | Dental cleaning for children (prophylaxis) | 429 | $22,339 | 10.1% | $52 |
| D0210 | Full set of dental X-rays | 413 | $21,277 | 9.7% | $52 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 432 | $20,894 | 9.5% | $48 |
| D0330 | Panoramic dental X-ray (full view of all teeth and jaw) | 399 | $13,857 | 6.3% | $35 |
| D0220 | Single dental X-ray (of one tooth) | 565 | $9,053 | 4.1% | $16 |
| D5214 | Partial lower denture — with resin base | 25 | $7,380 | 3.3% | $295 |
| D0274 | Dental X-ray — bitewings (four films) | 345 | $7,189 | 3.3% | $21 |
| D5110 | Complete upper denture | 22 | $6,150 | 2.8% | $280 |
| D0230 | Additional dental X-ray | 1,010 | $5,348 | 2.4% | $5 |
| D7140 | Tooth extraction — pulling a tooth that has erupted | 123 | $4,960 | 2.3% | $40 |
| D0120 | Regular dental checkup and exam | 156 | $3,537 | 1.6% | $23 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 86 | $3,320 | 1.5% | $39 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 69 | $1,994 | 0.9% | $29 |
| D4355 | Gum disease treatment (periodontics) | 44 | $1,347 | 0.6% | $31 |
| D0270 | Dental X-ray — bitewing (single film, checks for cavities between teeth) | 112 | $1,179 | 0.5% | $11 |
| D5820 | Dentures or removable dental prosthetics | 20 | $820 | 0.4% | $41 |
| D0603 | Dental exam, X-ray, or screening | 179 | $700 | 0.3% | $4 |
| D2391 | Tooth-colored (resin) filling — one surface, back tooth | 16 | $560 | 0.3% | $35 |
| D0350 | Dental exam, X-ray, or screening | 31 | $554 | 0.3% | $18 |
| D7311 | Tooth extraction or oral surgery | 69 | $435 | 0.2% | $6 |
| D1110 | Dental cleaning for adults (prophylaxis) | 18 | $300 | 0.1% | $17 |
| D0272 | Dental X-ray — bitewings (two films) | 14 | $276 | 0.1% | $20 |
| D0601 | Dental exam, X-ray, or screening | 54 | $220 | 0.1% | $4 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.