Dental
Aldujail, Rawaa
Aldujail, Rawaa was paid $1.17M by Medicaid between Jul 2023 and Dec 2024, across 26 billing codes. Its largest line is D1351, Sealant - per tooth — 13% of everything it billed.
33Billing provider infoALDUJAIL, RAWAA
ALTON, IL 62002
ALTON, IL 62002
33aNPI1437881448assigned 06/28/2022
33bProvider typeDentist
28Total paid$1.17M
24GClaims27,282
24DCodes billed26
24AFirst – last monthJul 2023 – Dec 2024
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#130 of 1,099
Median peer was paid$160K
This provider vs. median7.3×
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 | 10,023 | $379K | |
| 2024incomplete | 17,259 | $791K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 13% | 2,187 | 912 | $147K |
| D7140 | Extraction, erupted tooth or exposed root | 12% | 1,720 | 728 | $139K |
| D4341 | 11% | 775 | 323 | $125K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 7.4% | 847 | 581 | $86K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.3% | 1,987 | 1,987 | $85K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.1% | 2,519 | 2,519 | $72K |
| D4342 | 6.1% | 694 | 352 | $71K | |
| D1110 | Prophylaxis - adult | 5.9% | 1,452 | 1,452 | $70K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.4% | 673 | 484 | $51K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 1,811 | 1,808 | $47K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.9% | 432 | 326 | $45K |
| D1206 | Topical application of fluoride varnish | 3.8% | 1,646 | 1,646 | $45K |
14 more codes
| D0330 | Panoramic radiographic image | 3.2% | 1,604 | $38K |
| D5110 | 2.6% | 68 | $30K | |
| D0210 | Intraoral - complete series of radiographic images | 2.3% | 917 | $27K |
| D0274 | Bitewings - four radiographic images | 1.6% | 989 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 2,925 | $19K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 2,765 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 318 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 166 | $8K |
| D0140 | Limited oral evaluation - problem focused | <1% | 366 | $7K |
| D5120 | <1% | 14 | $6K | |
| D2332 | <1% | 41 | $4K | |
| D0272 | Bitewings - two radiographic images | <1% | 335 | $4K |
| D2335 | <1% | 13 | $2K | |
| D2331 | <1% | 18 | $1K |
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.