Hotait, Mustapha

Hotait, Mustapha was paid $42K by Medicaid between Jan 2018 and Jul 2018, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.

33Billing provider infoHOTAIT, MUSTAPHA
DOLTON, IL 60419

33aNPI1518199850assigned 08/20/2009

33bProvider typeDentist

28Total paid$42K

24GClaims1,705

24DCodes billed11

24AFirst – last monthJan 2018 – Jul 2018

Compared with peers

Next to other Dentist providers in Illinois

Rank by total paid#764 of 1,099

Median peer was paid$160K

This provider vs. median0.3×

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
2018	1,705	$42K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	33%	395	365	$14K
D1351	Sealant - per tooth	19%	209	74	$8K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	19%	321	295	$8K
D1208	Topical application of fluoride, excluding varnish	11%	199	189	$4K
D1206	Topical application of fluoride varnish	8.6%	170	152	$4K
D0150	Comprehensive oral evaluation - new or established patient	2.9%	63	60	$1K
D0210	Intraoral - complete series of radiographic images	2.0%	42	40	$853.80
D0274	Bitewings - four radiographic images	1.8%	63	61	$743.60
D0220	Intraoral - periapical first radiographic image	1.5%	124	115	$636.60
D0230	Intraoral - periapical each additional radiographic image	1.3%	106	85	$551.00
D0272	Bitewings - two radiographic images	<1%	13	13	$122.20

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.