Estafanous, Emad

Estafanous, Emad was paid $9K by Medicaid between Jun 2020 and Dec 2021, across 8 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 25% of everything it billed.

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
2020	228	$4K
2021	269	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	25%	76	70	$2K
D0220	Intraoral - periapical first radiographic image	19%	159	137	$2K
D0230	Intraoral - periapical each additional radiographic image	17%	147	75	$2K
D1110	Prophylaxis - adult	15%	29	29	$1K
D1208	Topical application of fluoride, excluding varnish	11%	49	40	$1K
D0330	Panoramic radiographic image	7.5%	13	13	$701.87
D0140	Limited oral evaluation - problem focused	3.2%	12	12	$297.96
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.6%	12	12	$241.80

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.