Dental
Elmasouri, Sabah
Elmasouri, Sabah was paid $8K by Medicaid between Jan 2018 and Feb 2020, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 39% of everything it billed.
33Billing provider infoELMASOURI, SABAH
CAMDEN, NY 13316
CAMDEN, NY 13316
33aNPI1265459994assigned 07/17/2006
33bProvider typeDentist
28Total paid$8K
24GClaims273
24DCodes billed6
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#1,193 of 1,649
Median peer was paid$49K
This provider vs. median0.2×
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 | 258 | $8K | |
| 2020 | 15 | $414.70 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 39% | 117 | 116 | $3K |
| D1110 | Prophylaxis - adult | 22% | 35 | 34 | $2K |
| D0274 | Bitewings - four radiographic images | 17% | 50 | 49 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 30 | 30 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 4.7% | 29 | 29 | $393.25 |
| D0272 | Bitewings - two radiographic images | 1.8% | 12 | 12 | $147.00 |
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.