Tabba, Manal

Tabba, Manal was paid $105K by Medicaid between Mar 2022 and Oct 2023, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.

33Billing provider infoTABBA, MANAL
GLENDALE HEIGHTS, IL 60139

33aNPI1184392573assigned 09/01/2021

33bProvider typeDentist

28Total paid$105K

24GClaims3,487

24DCodes billed17

24AFirst – last monthMar 2022 – Oct 2023

Compared with peers

Next to other Dentist providers in Illinois

Rank by total paid#622 of 1,099

Median peer was paid$160K

This provider vs. median0.7×

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
2022	1,395	$36K
2023	2,092	$69K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	16%	404	403	$17K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	510	508	$14K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	13%	165	134	$13K
D1208	Topical application of fluoride, excluding varnish	9.4%	378	377	$10K
D0150	Comprehensive oral evaluation - new or established patient	9.2%	391	390	$10K
D2391	Resin-based composite - one surface, posterior, primary or permanent	7.5%	155	123	$8K
D4341		7.3%	41	24	$8K
D1110	Prophylaxis - adult	6.3%	137	137	$7K
D0330	Panoramic radiographic image	5.6%	251	250	$6K
D0210	Intraoral - complete series of radiographic images	4.8%	311	307	$5K
D0274	Bitewings - four radiographic images	3.2%	205	203	$3K
D0220	Intraoral - periapical first radiographic image	2.4%	420	393	$3K

5 more codes

D9110		1.4%	27	$1K
D0230	Intraoral - periapical each additional radiographic image	<1%	53	$387.52
D0140	Limited oral evaluation - problem focused	<1%	12	$191.20
D0603		<1%	15	$67.50
D0270		<1%	12	$67.20

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.