Dental
Boulos, Bassel
Boulos, Bassel was paid $0.00 by Medicaid between Jun 2022 and Jul 2022, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 0% of everything it billed.
33Billing provider infoBOULOS, BASSEL
ROXBURY, MA 02120
ROXBURY, MA 02120
33aNPI1467902155assigned 10/06/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$0.00
24GClaims632
24DCodes billed11
24AFirst – last monthJun 2022 – Jul 2022
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#687 of 693
Median peer was paid$87K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2022 | 632 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 97 | 95 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 44 | 43 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 20 | 20 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 42 | 38 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 48 | 48 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 43 | 28 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 133 | 132 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 21 | 12 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 137 | 135 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 26 | 24 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 21 | 21 | $0.00 |
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.