Al Jumaili, Samara

Al Jumaili, Samara was paid $7K by Medicaid between Jun 2018 and Mar 2020, across 9 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 33% of everything it billed.

33Billing provider infoAL JUMAILI, SAMARA
FOLSOM, CA 95630

33aNPI1164804654assigned 06/22/2015

33bProvider typeDentist

28Total paid$7K

24GClaims403

24DCodes billed9

24AFirst – last monthJun 2018 – Mar 2020

Compared with peers

Next to other Dentist providers in California

Rank by total paid#1,941 of 2,314

Median peer was paid$185K

This provider vs. median0.0×

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	72	$2K
2019	217	$3K
2020	114	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	33%	125	125	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	28%	108	108	$2K
D1120	Dental cleaning, childProphylaxis - child	15%	46	46	$1K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	6.9%	12	12	$486.50
D1110	Prophylaxis - adult	4.1%	13	13	$290.73
D0220	Intraoral - periapical first radiographic image	3.6%	36	36	$252.85
D0274	Bitewings - four radiographic images	3.2%	14	14	$224.08
D0272	Bitewings - two radiographic images	2.9%	18	18	$207.66
D0230	Intraoral - periapical each additional radiographic image	2.6%	31	31	$181.15

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.