Al-Daggistany, Marwan

Al-Daggistany, Marwan was paid $717.08 by Medicaid between Oct 2023 and Jul 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 47% of everything it billed.

33Billing provider infoAL-DAGGISTANY, MARWAN
PROSPER, TX 75078

33aNPI1245837152assigned 10/04/2020

33bProvider typeDentist

28Total paid$717.08

24GClaims68

24DCodes billed4

24AFirst – last monthOct 2023 – Jul 2024

Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#1,466 of 1,678

Median peer was paid$35K

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
2023	27	$231.56
2024incomplete	41	$485.52

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	47%	12	12	$340.50
D0220	Intraoral - periapical first radiographic image	38%	26	25	$273.50
D0230	Intraoral - periapical each additional radiographic image	14%	13	12	$103.08
D0603		0%	17	16	$0.00

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.