Clinic
Azouz Dental Practice of Sacramento INC
Azouz Dental Practice of Sacramento INC was paid $36K by Medicaid between May 2019 and Jul 2020, across 11 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 40% of everything it billed.
33Billing provider infoAZOUZ DENTAL PRACTICE OF SACRAMENTO INC
CITRUS HEIGHTS, CA 95610
CITRUS HEIGHTS, CA 95610
33aNPI1770052631assigned 11/20/2018
33bProvider typeDental Clinic/Center
28Total paid$36K
24GClaims1,021
24DCodes billed11
24AFirst – last monthMay 2019 – Jul 2020
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#829 of 1,135
Median peer was paid$200K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2019 | 962 | $35K | |
| 2020 | 59 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 40% | 220 | 220 | $14K |
| D0210 | Intraoral - complete series of radiographic images | 24% | 186 | 186 | $9K |
| D1110 | Prophylaxis - adult | 15% | 62 | 62 | $5K |
| D0350 | 6.6% | 305 | 108 | $2K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.5% | 20 | 14 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 3.3% | 97 | 95 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.5% | 12 | 12 | $540.00 |
| D9430 | 1.2% | 14 | 14 | $448.00 | |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 33 | 26 | $396.00 |
| D0274 | Bitewings - four radiographic images | <1% | 14 | 14 | $259.20 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 58 | 41 | $234.90 |
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 officialAZOUZ, DARRYL (OWNER AND DENTIST)