Dental
Sahouri, Issa
Sahouri, Issa was paid $192K by Medicaid between Aug 2024 and Dec 2024, across 21 billing codes. Its largest line is D1351, Sealant - per tooth — 17% of everything it billed.
33Billing provider infoSAHOURI, ISSA
DECATUR, IL 62526
DECATUR, IL 62526
33aNPI1669218798assigned 07/08/2024
33bProvider typeDentist
28Total paid$192K
24GClaims6,331
24DCodes billed21
24AFirst – last monthAug 2024 – Dec 2024
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#509 of 1,099
Median peer was paid$160K
This provider vs. median1.2×
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 | 6,331 | $192K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 17% | 505 | 205 | $32K |
| D4341 | 12% | 170 | 68 | $22K | |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 502 | 502 | $21K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 687 | 687 | $20K |
| D4342 | 6.1% | 113 | 55 | $12K | |
| D1206 | Topical application of fluoride varnish | 6.0% | 431 | 431 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | 5.4% | 142 | 89 | $10K |
| D0274 | Bitewings - four radiographic images | 5.2% | 537 | 537 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.8% | 130 | 82 | $9K |
| D1110 | Prophylaxis - adult | 3.6% | 146 | 146 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 961 | 954 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 226 | 226 | $6K |
9 more codes
| D0330 | Panoramic radiographic image | 2.8% | 340 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 890 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 75 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.2% | 20 | $2K |
| D0272 | Bitewings - two radiographic images | 1.2% | 220 | $2K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 122 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 1.1% | 80 | $2K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 17 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 17 | $120.81 |
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.