Dental
Khoury, Rami
Khoury, Rami was paid $15K by Medicaid between Aug 2021 and Mar 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 16% of everything it billed.
33Billing provider infoKHOURY, RAMI
FOUNTAIN HILL, PA 18015
FOUNTAIN HILL, PA 18015
33aNPI1215069752assigned 03/11/2007
33bProvider typeDentist
28Total paid$15K
24GClaims515
24DCodes billed10
24AFirst – last monthAug 2021 – Mar 2024
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#433 of 683
Median peer was paid$34K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2021 | 501 | $15K | |
| 2024incomplete | 14 | $392.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 16% | 67 | 67 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 82 | 82 | $2K |
| D0274 | Bitewings - four radiographic images | 14% | 76 | 76 | $2K |
| D9920 | 13% | 17 | 16 | $2K | |
| D1351 | Sealant - per tooth | 13% | 80 | 15 | $2K |
| D0330 | Panoramic radiographic image | 11% | 43 | 43 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.3% | 21 | 12 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 3.4% | 28 | 28 | $519.12 |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 43 | 42 | $472.00 |
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 58 | 56 | $464.00 |
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.