Clinic
Sattout Dental Corp
Sattout Dental Corp was paid $1.67M by Medicaid between Nov 2020 and Dec 2024, across 30 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.
33Billing provider infoSATTOUT DENTAL CORP
ELK GROVE, CA 95758
ELK GROVE, CA 95758
33aNPI1164066627assigned 10/29/2019
33bProvider typeDental Clinic/Center
28Total paid$1.67M
24GClaims36,776
24DCodes billed30
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#157 of 1,135
Median peer was paid$200K
This provider vs. median8.4×
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 | |
|---|---|---|---|
| 2020 | 543 | $17K | |
| 2021 | 4,901 | $207K | |
| 2022 | 9,336 | $472K | |
| 2023 | 12,051 | $573K | |
| 2024incomplete | 9,945 | $405K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 19% | 4,260 | 4,249 | $326K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 3,739 | 3,720 | $219K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 3,176 | 1,873 | $200K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.9% | 2,636 | 1,464 | $133K |
| D0210 | Intraoral - complete series of radiographic images | 7.4% | 3,463 | 3,442 | $123K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.6% | 2,237 | 2,232 | $94K |
| D2751 | Crown - porcelain fused to predominantly base metal | 4.6% | 166 | 152 | $77K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.0% | 930 | 659 | $68K |
| D4341 | 3.9% | 1,182 | 470 | $66K | |
| D1208 | Topical application of fluoride, excluding varnish | 3.9% | 2,487 | 2,481 | $66K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.7% | 1,417 | 1,412 | $62K |
| D9999 | Unspecified adjunctive procedure, by report | 3.6% | 509 | 478 | $60K |
18 more codes
| D1351 | Sealant - per tooth | 3.1% | 1,777 | $52K |
| D0274 | Bitewings - four radiographic images | 1.9% | 2,147 | $33K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.4% | 238 | $23K |
| D4910 | <1% | 145 | $14K | |
| D0350 | <1% | 1,744 | $14K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,898 | $10K |
| D2332 | <1% | 115 | $9K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 884 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 119 | $6K |
| D2330 | <1% | 72 | $5K | |
| D1206 | Topical application of fluoride varnish | <1% | 192 | $3K |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 34 | $2K |
| D0330 | Panoramic radiographic image | <1% | 67 | $1K |
| D4342 | <1% | 26 | $972.00 | |
| D1999 | <1% | 63 | $260.00 | |
| D0272 | Bitewings - two radiographic images | <1% | 17 | $152.00 |
| D1320 | <1% | 20 | $150.00 | |
| D0270 | <1% | 16 | $70.00 |
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.
From NPPES
Who's on the registration
Authorized officialSATTOUT, OMAR (DR)
| Provider | Location | Paid |
|---|---|---|
| Sattout and Alaswad Dental Corp. | Orangevale, CA | $282K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.