Dental
Abouassaf, Sally
Abouassaf, Sally was paid $69K by Medicaid between Nov 2020 and Dec 2024, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 24% of everything it billed.
33Billing provider infoABOUASSAF, SALLY
PARKER, CO 80134
PARKER, CO 80134
33aNPI1659677805assigned 02/07/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$69K
24GClaims4,689
24DCodes billed10
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Colorado
Rank by total paid#249 of 521
Median peer was paid$53K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2020 | 126 | $2K | |
| 2021 | 676 | $10K | |
| 2022 | 1,317 | $21K | |
| 2023 | 1,485 | $23K | |
| 2024incomplete | 1,085 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 594 | 578 | $16K |
| D1206 | Topical application of fluoride varnish | 18% | 902 | 865 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 350 | 337 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 13% | 756 | 726 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 744 | 672 | $8K |
| D1110 | Prophylaxis - adult | 9.8% | 131 | 130 | $7K |
| D0274 | Bitewings - four radiographic images | 4.0% | 82 | 81 | $3K |
| D0272 | Bitewings - two radiographic images | 3.4% | 103 | 102 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | 12 | $317.88 |
| D0603 | 0% | 1,015 | 958 | $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.