Dental
Asfour, Omar
Asfour, Omar was paid $39K by Medicaid between Jul 2023 and Dec 2023, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.
33Billing provider infoASFOUR, OMAR
SUGAR GROVE, IL 60554
SUGAR GROVE, IL 60554
33aNPI1427628585assigned 06/30/2021
33bProvider typeDentist
28Total paid$39K
24GClaims1,345
24DCodes billed13
24AFirst – last monthJul 2023 – Dec 2023
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#776 of 1,099
Median peer was paid$160K
This provider vs. median0.2×
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 | 1,345 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 219 | 219 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 234 | 234 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 74 | 66 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 174 | 174 | $5K |
| D1351 | Sealant - per tooth | 11% | 29 | 29 | $4K |
| D0274 | Bitewings - four radiographic images | 3.8% | 74 | 74 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 221 | 215 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 51 | 51 | $1K |
| D0140 | Limited oral evaluation - problem focused | 3.2% | 65 | 64 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 160 | 159 | $940.80 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 17 | 16 | $764.40 |
| D1110 | Prophylaxis - adult | 1.9% | 15 | 15 | $725.70 |
1 more codes
| D1206 | Topical application of fluoride varnish | <1% | 12 | $327.60 |
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.