Rassam, Ban

Rassam, Ban was paid $258K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.

33Billing provider infoRASSAM, BAN
STERLING HTS, MI 48310

33aNPI1396816823assigned 11/13/2006

33bProvider typeDentist

28Total paid$258K

24GClaims7,086

24DCodes billed12

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#164 of 1,033

Median peer was paid$15K

This provider vs. median17×

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	2,476	$98K
2019	2,746	$105K
2020	1,074	$33K
2021	486	$14K
2022	264	$7K
2023	13	$211.44
2024incomplete	27	$731.50

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	24%	504	287	$62K
D1110	Prophylaxis - adult	17%	973	960	$44K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	1,457	1,446	$37K
D1120	Dental cleaning, childProphylaxis - child	11%	727	727	$29K
D2391	Resin-based composite - one surface, posterior, primary or permanent	8.9%	249	167	$23K
D0274	Bitewings - four radiographic images	7.8%	624	619	$20K
D1208	Topical application of fluoride, excluding varnish	7.6%	798	798	$20K
D0220	Intraoral - periapical first radiographic image	5.2%	878	870	$14K
D0230	Intraoral - periapical each additional radiographic image	2.6%	826	769	$7K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	1.1%	22	14	$3K
D0150	Comprehensive oral evaluation - new or established patient	<1%	16	14	$494.00
D0140	Limited oral evaluation - problem focused	<1%	12	12	$486.00

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.