Hassan, Samir
Hassan, Samir was paid $16K by Medicaid between Jun 2024 and Sep 2024, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 26% of everything it billed.
33Billing provider infoHASSAN, SAMIR
ORLAND PARK, IL 60462
ORLAND PARK, IL 60462
33aNPI1871096883assigned 03/15/2018
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$16K
24GClaims762
24DCodes billed12
24AFirst – last monthJun 2024 – Sep 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Illinois
Rank by total paid#587 of 981
Median peer was paid$27K
This provider vs. median0.6×
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 | 762 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 152 | 152 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 99 | 99 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 16% | 99 | 99 | $3K |
| D0274 | Bitewings - four radiographic images | 7.9% | 74 | 74 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 5.3% | 131 | 129 | $846.08 |
| D1110 | Prophylaxis - adult | 4.2% | 14 | 14 | $671.99 |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 25 | 25 | $652.00 |
| D0140 | Limited oral evaluation - problem focused | 3.4% | 29 | 29 | $535.36 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 99 | 98 | $456.96 |
| D0330 | Panoramic radiographic image | 1.9% | 13 | 13 | $308.00 |
| D9310 | 1.3% | 12 | 12 | $205.20 | |
| D0272 | Bitewings - two radiographic images | <1% | 15 | 15 | $121.99 |
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.