Dental
Oushy Eissa, Noha
Oushy Eissa, Noha was paid $119K by Medicaid between Jan 2018 and Jan 2018, across 24 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.
33Billing provider infoOUSHY EISSA, NOHA
SANTA TERESA, NM 88008
SANTA TERESA, NM 88008
33aNPI1447667001assigned 07/16/2014
33bProvider typeDentist
28Total paid$119K
24GClaims3,867
24DCodes billed24
24AFirst – last monthJan 2018 – Jan 2018
Compared with peers
Next to other Dentist providers in New Mexico
Rank by total paid#65 of 179
Median peer was paid$47K
This provider vs. median2.5×
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 | 3,867 | $119K |
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 | 15% | 246 | 144 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.2% | 326 | 326 | $11K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.6% | 297 | 297 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 7.3% | 496 | 496 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.2% | 160 | 101 | $9K |
| D4346 | 5.8% | 60 | 60 | $7K | |
| D1110 | Prophylaxis - adult | 5.8% | 153 | 153 | $7K |
| D0274 | Bitewings - four radiographic images | 5.1% | 213 | 213 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 4.5% | 84 | 43 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.4% | 61 | 46 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 4.4% | 475 | 474 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.9% | 177 | 168 | $5K |
12 more codes
| D0272 | Bitewings - two radiographic images | 3.6% | 220 | $4K |
| D0120 | Dental checkup, returning patient | 3.5% | 190 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.3% | 443 | $4K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.7% | 28 | $3K |
| D1351 | Sealant - per tooth | 1.8% | 95 | $2K |
| D2330 | 1.2% | 21 | $1K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.1% | 17 | $1K |
| D0330 | Panoramic radiographic image | 1.1% | 25 | $1K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 14 | $825.44 |
| D0240 | <1% | 33 | $720.72 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 21 | $595.77 |
| D0270 | <1% | 12 | $117.84 |
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.