Dental
Al Sammarraie, Noor
Al Sammarraie, Noor was paid $280K by Medicaid between Nov 2021 and Jun 2023, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoAL SAMMARRAIE, NOOR
ADDISON, IL 60101
ADDISON, IL 60101
33aNPI1619548666assigned 07/09/2021
33bProvider typeDentist
28Total paid$280K
24GClaims10,288
24DCodes billed17
24AFirst – last monthNov 2021 – Jun 2023
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#426 of 1,099
Median peer was paid$160K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2021 | 1,368 | $26K | |
| 2022 | 7,449 | $196K | |
| 2023 | 1,471 | $58K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 1,187 | 1,177 | $46K |
| D1351 | Sealant - per tooth | 16% | 586 | 296 | $45K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,324 | 1,316 | $35K |
| D4341 | 11% | 199 | 83 | $32K | |
| D1206 | Topical application of fluoride varnish | 5.7% | 642 | 640 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.7% | 691 | 679 | $16K |
| D0274 | Bitewings - four radiographic images | 4.9% | 822 | 813 | $14K |
| D1110 | Prophylaxis - adult | 4.4% | 292 | 291 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 4.3% | 501 | 493 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.9% | 166 | 126 | $11K |
| D7140 | Extraction, erupted tooth or exposed root | 3.9% | 198 | 127 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 1,509 | 1,481 | $9K |
5 more codes
| D0210 | Intraoral - complete series of radiographic images | 3.1% | 306 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 1,336 | $6K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 192 | $4K |
| D0272 | Bitewings - two radiographic images | 1.0% | 295 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 42 | $1K |
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.