Clinic
Summy a Abbassi DDS
Summy a Abbassi DDS was paid $14K by Medicaid between Sep 2019 and Feb 2022, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.
33Billing provider infoSUMMY A ABBASSI DDS
TARZANA, CA 91356
TARZANA, CA 91356
33aNPI1710354006assigned 08/21/2015
33bProvider typeDental Clinic/Center
28Total paid$14K
24GClaims310
24DCodes billed5
24AFirst – last monthSep 2019 – Feb 2022
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#934 of 1,135
Median peer was paid$200K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2019 | 12 | $792.00 | |
| 2020 | 94 | $4K | |
| 2021 | 146 | $6K | |
| 2022 | 58 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 34% | 54 | 54 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 31% | 65 | 65 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 141 | 141 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 37 | 37 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.1% | 13 | 13 | $970.00 |
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.
From NPPES
Who's on the registration
Authorized officialABBASSI, SUMMY (DENTIST)