Abu-Samn, Falastin

Abu-Samn, Falastin was paid $63K by Medicaid between Jan 2020 and Jul 2020, across 18 billing codes. Its largest line is D9230, Inhalation of nitrous oxide / analgesia, anxiolysis — 39% of everything it billed.

33Billing provider infoABU-SAMN, FALASTIN
DAYTONA BEACH, FL 32118

33aNPI1063649580assigned 06/11/2009

33bProvider typePediatric Dentist

28Total paid$63K

24GClaims2,229

24DCodes billed18

24AFirst – last monthJan 2020 – Jul 2020

Compared with peers

Next to other Pediatric Dentist providers in Florida

Rank by total paid#146 of 246

Median peer was paid$107K

This provider vs. median0.6×

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
2020	2,229	$63K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	39%	132	116	$25K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	38%	248	246	$23K
D0150	Comprehensive oral evaluation - new or established patient	15%	86	85	$9K
D2930	Prefabricated stainless steel crown - primary tooth	2.4%	28	12	$2K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1.1%	109	57	$683.41
D1120	Dental cleaning, childProphylaxis - child	1.1%	296	293	$677.10
D1351	Sealant - per tooth	<1%	40	15	$467.50
D0220	Intraoral - periapical first radiographic image	<1%	128	122	$459.49
D0272	Bitewings - two radiographic images	<1%	202	202	$450.79
D0330	Panoramic radiographic image	<1%	74	74	$282.83
D0230	Intraoral - periapical each additional radiographic image	<1%	69	65	$161.86
D1208	Topical application of fluoride, excluding varnish	<1%	116	114	$127.53

6 more codes

D0240		<1%	70	$112.83
D1206	Topical application of fluoride varnish	<1%	213	$101.38
D1330		<1%	342	$99.74
D1110	Prophylaxis - adult	<1%	25	$91.56
D0274	Bitewings - four radiographic images	0%	28	$0.00
D1999		0%	23	$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.