Dental
Khammar, Issam
Khammar, Issam was paid $55K by Medicaid between Jan 2018 and Oct 2023, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 68% of everything it billed.
33Billing provider infoKHAMMAR, ISSAM
FORKED RIVER, NJ 08731
FORKED RIVER, NJ 08731
33aNPI1225254394assigned 04/17/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$55K
24GClaims1,959
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#366 of 790
Median peer was paid$43K
This provider vs. median1.3×
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 | 494 | $15K | |
| 2019 | 525 | $14K | |
| 2020 | 306 | $8K | |
| 2021 | 280 | $8K | |
| 2022 | 272 | $8K | |
| 2023 | 82 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 68% | 757 | 746 | $38K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 723 | 713 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 4.4% | 354 | 344 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.2% | 16 | 12 | $666.02 |
| D0274 | Bitewings - four radiographic images | <1% | 25 | 25 | $387.90 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 72 | 67 | $382.34 |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | 12 | $176.68 |
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.