Kuttab, H Johnny

Kuttab, H Johnny was paid $12K by Medicaid between Jan 2018 and Aug 2018, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 42% of everything it billed.

33Billing provider infoKUTTAB, H JOHNNY
CHICAGO, IL 60647

33aNPI1811155096assigned 05/25/2008

33bProvider typePediatric Dentist

28Total paid$12K

24GClaims541

24DCodes billed6

24AFirst – last monthJan 2018 – Aug 2018

Compared with peers

Next to other Pediatric Dentist providers in Illinois

Rank by total paid#39 of 53

Median peer was paid$99K

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
2018	541	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	42%	150	131	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	124	108	$3K
D1206	Topical application of fluoride varnish	18%	104	86	$2K
D0230	Intraoral - periapical each additional radiographic image	6.6%	57	53	$790.40
D0150	Comprehensive oral evaluation - new or established patient	4.5%	29	28	$547.30
D0220	Intraoral - periapical first radiographic image	3.4%	77	70	$412.60

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.