Dental
Moukaddem, Omar
Moukaddem, Omar was paid $965K by Medicaid between Oct 2021 and Dec 2024, across 25 billing codes. Its largest line is D4341, — 13% of everything it billed.
33Billing provider infoMOUKADDEM, OMAR
ADDISON, IL 60101
ADDISON, IL 60101
33aNPI1336718659assigned 06/21/2021
33bProvider typeDentist
28Total paid$965K
24GClaims29,823
24DCodes billed25
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#166 of 1,099
Median peer was paid$160K
This provider vs. median6.0×
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 | |
|---|---|---|---|
| 2021 | 1,786 | $29K | |
| 2022 | 11,450 | $375K | |
| 2023 | 9,644 | $323K | |
| 2024incomplete | 6,943 | $238K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D4341 | 13% | 836 | 346 | $126K | |
| D1351 | Sealant - per tooth | 13% | 2,353 | 766 | $123K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 1,752 | 1,140 | $118K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 2,960 | 2,845 | $116K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 11% | 1,086 | 669 | $104K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.9% | 2,875 | 2,750 | $76K |
| D1206 | Topical application of fluoride varnish | 5.5% | 2,110 | 2,012 | $53K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 1,958 | 1,926 | $47K |
| D0274 | Bitewings - four radiographic images | 4.1% | 2,412 | 2,320 | $39K |
| D1110 | Prophylaxis - adult | 2.8% | 613 | 612 | $27K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 3,413 | 3,195 | $18K |
| D2740 | Crown - porcelain/ceramic | 1.8% | 62 | 41 | $17K |
13 more codes
| D1208 | Topical application of fluoride, excluding varnish | 1.3% | 532 | $13K |
| D0330 | Panoramic radiographic image | 1.3% | 616 | $12K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 3,447 | $12K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 716 | $12K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.2% | 137 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 217 | $9K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 452 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 163 | $7K |
| D0272 | Bitewings - two radiographic images | <1% | 658 | $6K |
| D2950 | <1% | 77 | $5K | |
| D0270 | <1% | 311 | $2K | |
| D9110 | <1% | 29 | $2K | |
| D9310 | <1% | 38 | $564.30 |
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.