SAM ALKHOURY DMD PC
NPI: 1073611810
· WORCESTER, MA 01609
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 09/20/2006
$1.44M
Total Medicaid Paid
Provider Details
| Authorized Official | ALKHOURY, SAM (OWNER) |
| NPI Enumeration Date | 09/20/2006 |
Related Entities
Other providers sharing the same authorized official: ALKHOURY, SAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,021 |
$136K |
| 2019 |
1,066 |
$155K |
| 2020 |
535 |
$116K |
| 2021 |
906 |
$215K |
| 2022 |
1,062 |
$233K |
| 2023 |
1,488 |
$324K |
| 2024 |
1,267 |
$263K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
5,141 |
4,899 |
$1.28M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
41 |
38 |
$47K |
| D8680 |
|
489 |
402 |
$46K |
| D9310 |
|
701 |
666 |
$37K |
| D8660 |
|
520 |
503 |
$17K |
| D0330 |
Panoramic radiographic image |
429 |
414 |
$14K |
| D8690 |
|
24 |
22 |
$3K |