Kassar, Raeda

Kassar, Raeda was paid $108K by Medicaid between Feb 2018 and Dec 2021, across 11 billing codes. Its largest line is D9430, — 28% of everything it billed.

33Billing provider infoKASSAR, RAEDA
GLENDORA, CA 91741

33aNPI1427122621assigned 11/20/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$108K

24GClaims3,495

24DCodes billed11

24AFirst – last monthFeb 2018 – Dec 2021

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#1,518 of 2,668

Median peer was paid$173K

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	296	$7K
2019	752	$24K
2020	1,028	$32K
2021	1,419	$46K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9430		28%	959	720	$31K
D0150	Comprehensive oral evaluation - new or established patient	13%	219	219	$14K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	316	316	$14K
D1110	Prophylaxis - adult	11%	130	130	$12K
D0210	Intraoral - complete series of radiographic images	9.9%	226	226	$11K
D1208	Topical application of fluoride, excluding varnish	8.4%	767	764	$9K
D4910		8.2%	116	115	$9K
D1120	Dental cleaning, childProphylaxis - child	3.3%	120	120	$4K
D0274	Bitewings - four radiographic images	2.6%	131	131	$3K
D0230	Intraoral - periapical each additional radiographic image	1.8%	472	285	$2K
D0250		<1%	39	39	$858.00

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.