Idlibi, Ammar

Idlibi, Ammar was paid $2K by Medicaid between Feb 2023 and Feb 2023, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 41% of everything it billed.

33Billing provider infoIDLIBI, AMMAR
BRISTOL, CT 06010

33aNPI1376569012assigned 07/14/2006

33bProvider typePediatric Dentist

28Total paid$2K

24GClaims45

24DCodes billed3

24AFirst – last monthFeb 2023 – Feb 2023

Compared with peers

Next to other Pediatric Dentist providers in Connecticut

Rank by total paid#67 of 84

Median peer was paid$311K

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	45	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	41%	14	14	$631.12
D1208	Topical application of fluoride, excluding varnish	30%	17	16	$454.72
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	14	13	$445.90

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.