Dental
Samee, Arif
Samee, Arif was paid $298K by Medicaid between Jan 2018 and Nov 2019, across 19 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 18% of everything it billed.
33Billing provider infoSAMEE, ARIF
DOWNERS GROVE, IL 60515
DOWNERS GROVE, IL 60515
33aNPI1720134208assigned 01/26/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$298K
24GClaims8,290
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#359 of 1,017
Median peer was paid$123K
This provider vs. median2.4×
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 | 3,409 | $110K | |
| 2019 | 4,881 | $187K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 18% | 840 | 449 | $54K |
| D4341 | 17% | 355 | 167 | $51K | |
| D7140 | Extraction, erupted tooth or exposed root | 15% | 839 | 294 | $46K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.0% | 609 | 586 | $24K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.4% | 347 | 195 | $22K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.2% | 819 | 799 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.4% | 934 | 906 | $19K |
| D1208 | Topical application of fluoride, excluding varnish | 4.3% | 510 | 497 | $13K |
| D1351 | Sealant - per tooth | 3.2% | 193 | 82 | $10K |
| D0274 | Bitewings - four radiographic images | 3.0% | 586 | 572 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 2.8% | 453 | 441 | $8K |
| D0330 | Panoramic radiographic image | 1.9% | 297 | 291 | $6K |
7 more codes
| D0272 | Bitewings - two radiographic images | 1.7% | 571 | $5K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 219 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 460 | $2K |
| D1110 | Prophylaxis - adult | <1% | 49 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 24 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 27 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 158 | $722.00 |
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.