Khoury, Issa

Khoury, Issa was paid $8K by Medicaid between Jan 2018 and Sep 2022, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 56% of everything it billed.

33Billing provider infoKHOURY, ISSA
LIVONIA, MI 48152

33aNPI1265511828assigned 11/03/2006

33bProvider typeDentist

28Total paid$8K

24GClaims299

24DCodes billed4

24AFirst – last monthJan 2018 – Sep 2022

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#616 of 1,033

Median peer was paid$15K

This provider vs. median0.6×

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	164	$5K
2019	24	$672.00
2020	14	$392.00
2021	39	$980.00
2022	58	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	56%	178	178	$5K
D1120	Dental cleaning, childProphylaxis - child	25%	58	58	$2K
D1208	Topical application of fluoride, excluding varnish	14%	51	51	$1K
D0274	Bitewings - four radiographic images	5.3%	12	12	$444.00

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.