Dental
Shanshal, Ismaeel
Shanshal, Ismaeel was paid $855.92 by Medicaid between Aug 2022 and Aug 2022, across 2 billing codes. Its largest line is D1120, dental cleaning, child — 62% of everything it billed.
33Billing provider infoSHANSHAL, ISMAEEL
CHICAGO, IL 60657
CHICAGO, IL 60657
33aNPI1487174124assigned 06/23/2017
33bProvider typeDentist Anesthesiologist
28Total paid$855.92
24GClaims26
24DCodes billed2
24AFirst – last monthAug 2022 – Aug 2022
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 | 26 | $855.92 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 62% | 13 | 13 | $533.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 38% | 13 | 13 | $322.92 |
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.