Dental
Altarifi, Sali
Altarifi, Sali was paid $108K by Medicaid between Aug 2024 and Dec 2024, across 18 billing codes. Its largest line is D1351, Sealant - per tooth — 20% of everything it billed.
33Billing provider infoALTARIFI, SALI
ORLAND PARK, IL 60462
ORLAND PARK, IL 60462
33aNPI1700643582assigned 02/28/2024
33bProvider typeGeneral Practice Dentistry
28Total paid$108K
24GClaims3,269
24DCodes billed18
24AFirst – last monthAug 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#533 of 1,017
Median peer was paid$123K
This provider vs. median0.9×
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 | 3,269 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 20% | 311 | 124 | $22K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 345 | 345 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.5% | 357 | 357 | $10K |
| D4341 | 9.3% | 57 | 26 | $10K | |
| D1208 | Topical application of fluoride, excluding varnish | 8.5% | 344 | 344 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.9% | 260 | 260 | $6K |
| D0274 | Bitewings - four radiographic images | 5.8% | 327 | 327 | $6K |
| D1110 | Prophylaxis - adult | 4.7% | 105 | 105 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.7% | 42 | 33 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 69 | 48 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.2% | 45 | 37 | $3K |
| D2332 | 3.0% | 29 | 17 | $3K |
6 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 426 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 405 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 2.0% | 32 | $2K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 84 | $1K |
| D2330 | 1.3% | 18 | $1K | |
| D0272 | Bitewings - two radiographic images | <1% | 13 | $133.08 |
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.