Dental
Hassouneh, Samia
Hassouneh, Samia was paid $145K by Medicaid between Aug 2023 and Nov 2024, across 27 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.
33Billing provider infoHASSOUNEH, SAMIA
CORVALLIS, OR 97333
CORVALLIS, OR 97333
33aNPI1598306342assigned 10/02/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$145K
24GClaims9,222
24DCodes billed27
24AFirst – last monthAug 2023 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#58 of 311
Median peer was paid$6K
This provider vs. median23×
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 | 1,640 | $12K | |
| 2024incomplete | 7,582 | $133K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 728 | 728 | $32K |
| D1206 | Topical application of fluoride varnish | 13% | 1,175 | 1,163 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 614 | 614 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.8% | 427 | 426 | $10K |
| D0603 | 4.4% | 1,006 | 1,001 | $6K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.0% | 164 | 104 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 3.9% | 287 | 285 | $6K |
| D0272 | Bitewings - two radiographic images | 3.8% | 247 | 247 | $5K |
| D4341 | 3.8% | 225 | 108 | $5K | |
| D1110 | Prophylaxis - adult | 3.5% | 199 | 199 | $5K |
| D1351 | Sealant - per tooth | 3.4% | 144 | 39 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.3% | 534 | 190 | $5K |
15 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 346 | $4K |
| D0240 | 2.2% | 182 | $3K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 139 | $3K |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 128 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | 1.7% | 81 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.4% | 68 | $2K |
| D0274 | Bitewings - four radiographic images | 1.2% | 63 | $2K |
| D1354 | <1% | 926 | $1K | |
| D0330 | Panoramic radiographic image | <1% | 130 | $1K |
| D0602 | <1% | 61 | $316.25 | |
| D0191 | <1% | 14 | $72.00 | |
| D1320 | <1% | 13 | $50.00 | |
| D1330 | <1% | 666 | $50.00 | |
| D1310 | <1% | 584 | $10.00 | |
| D3120 | 0% | 71 | $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.