Alkhassib, Samaa

Alkhassib, Samaa was paid $15K by Medicaid between Jul 2024 and Dec 2024, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.

33Billing provider infoALKHASSIB, SAMAA
OAK FOREST, IL 60452

33aNPI1558103770assigned 06/10/2024

33bProvider typeGeneral Practice Dentistry

28Total paid$15K

24GClaims645

24DCodes billed10

24AFirst – last monthJul 2024 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#782 of 1,017

Median peer was paid$123K

This provider vs. median0.1×

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
2024incomplete	645	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	29%	102	102	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	119	119	$3K
D0150	Comprehensive oral evaluation - new or established patient	12%	65	65	$2K
D1110	Prophylaxis - adult	8.2%	25	25	$1K
D1206	Topical application of fluoride varnish	8.0%	43	43	$1K
D0220	Intraoral - periapical first radiographic image	6.2%	143	141	$918.79
D0274	Bitewings - four radiographic images	5.3%	46	46	$785.18
D0140	Limited oral evaluation - problem focused	4.4%	34	33	$650.08
D0210	Intraoral - complete series of radiographic images	2.7%	14	14	$390.72
D0230	Intraoral - periapical each additional radiographic image	1.7%	54	46	$255.36

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.