Dental
S Ghannam DDS INC
S Ghannam DDS INC was paid $585K by Medicaid between Jan 2018 and Aug 2021, across 20 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 18% of everything it billed.
33Billing provider infoS GHANNAM DDS INC
ANTIOCH, CA 94509
ANTIOCH, CA 94509
33aNPI1699987149assigned 05/05/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$585K
24GClaims15,085
24DCodes billed20
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#817 of 2,668
Median peer was paid$173K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2018 | 4,593 | $163K | |
| 2019 | 4,560 | $190K | |
| 2020 | 2,806 | $114K | |
| 2021 | 3,126 | $119K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 1,758 | 1,756 | $107K |
| D1110 | Prophylaxis - adult | 17% | 1,217 | 1,215 | $101K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,641 | 1,637 | $68K |
| D0210 | Intraoral - complete series of radiographic images | 9.2% | 1,153 | 1,152 | $54K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.6% | 1,693 | 1,687 | $50K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 7.2% | 632 | 334 | $42K |
| D1351 | Sealant - per tooth | 5.7% | 1,542 | 319 | $33K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 4.0% | 195 | 108 | $23K |
| D4341 | 3.9% | 326 | 87 | $23K | |
| D1208 | Topical application of fluoride, excluding varnish | 2.9% | 1,670 | 1,666 | $17K |
| D4910 | 2.8% | 215 | 215 | $17K | |
| D0274 | Bitewings - four radiographic images | 2.6% | 721 | 719 | $15K |
8 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.
From NPPES
Who's on the registration
Authorized officialGHANNAM, SALAM (CEO)