Ali, Ayah

Ali, Ayah was paid $11K by Medicaid between Oct 2024 and Nov 2024, across 8 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 37% of everything it billed.

33Billing provider infoALI, AYAH
GIBSON CITY, IL 60936

33aNPI1225869167assigned 08/12/2024

33bProvider typeDentist

28Total paid$11K

24GClaims245

24DCodes billed8

24AFirst – last monthOct 2024 – Nov 2024

Compared with peers

Next to other Dentist providers in Illinois

Rank by total paid#911 of 1,099

Median peer was paid$160K

This provider vs. median0.1×

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
2024incomplete	245	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	37%	43	30	$4K
D1120	Dental cleaning, childProphylaxis - child	19%	47	47	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	56	56	$2K
D1206	Topical application of fluoride varnish	11%	43	43	$1K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	9.7%	18	12	$1K
D0330	Panoramic radiographic image	2.9%	12	12	$307.59
D0274	Bitewings - four radiographic images	2.5%	13	13	$259.22
D0140	Limited oral evaluation - problem focused	2.4%	13	13	$248.56

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.