Dental
Hammoudeh, Khalil
Hammoudeh, Khalil was paid $164K by Medicaid between Jun 2023 and Apr 2024, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 16% of everything it billed.
33Billing provider infoHAMMOUDEH, KHALIL
MANSFIELD, TX 76063
MANSFIELD, TX 76063
33aNPI1598104127assigned 06/17/2013
33bProvider typeDentist
28Total paid$164K
24GClaims5,642
24DCodes billed15
24AFirst – last monthJun 2023 – Apr 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#538 of 1,678
Median peer was paid$35K
This provider vs. median4.8×
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 | |
|---|---|---|---|
| 2023 | 3,826 | $114K | |
| 2024incomplete | 1,816 | $51K |
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 | 16% | 264 | 132 | $26K |
| D0145 | Oral evaluation for a patient under three years of age | 14% | 171 | 170 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 815 | 809 | $23K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 531 | 528 | $19K |
| D0274 | Bitewings - four radiographic images | 10% | 520 | 516 | $17K |
| D1110 | Prophylaxis - adult | 9.5% | 296 | 295 | $16K |
| D1351 | Sealant - per tooth | 7.4% | 452 | 120 | $12K |
| D1206 | Topical application of fluoride varnish | 7.2% | 835 | 828 | $12K |
| D0272 | Bitewings - two radiographic images | 3.9% | 283 | 281 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.4% | 208 | 196 | $6K |
| D0330 | Panoramic radiographic image | 1.3% | 64 | 62 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 158 | 155 | $2K |
3 more codes
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.