Dental
Hailu, Kassahun
Hailu, Kassahun was paid $141K by Medicaid between Mar 2018 and Nov 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.
33Billing provider infoHAILU, KASSAHUN
ROCKVILLE, MD 20852
ROCKVILLE, MD 20852
33aNPI1871777391assigned 12/19/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$141K
24GClaims3,634
24DCodes billed10
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Maryland
Rank by total paid#201 of 598
Median peer was paid$42K
This provider vs. median3.4×
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 | 166 | $5K | |
| 2019 | 243 | $7K | |
| 2020 | 121 | $3K | |
| 2021 | 93 | $2K | |
| 2022 | 509 | $14K | |
| 2023 | 1,780 | $79K | |
| 2024incomplete | 722 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 29% | 710 | 689 | $41K |
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 483 | 468 | $24K |
| D1208 | Topical application of fluoride, excluding varnish | 16% | 982 | 960 | $22K |
| D0140 | Limited oral evaluation - problem focused | 11% | 347 | 300 | $16K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 526 | 517 | $15K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.4% | 87 | 42 | $9K |
| D0274 | Bitewings - four radiographic images | 5.0% | 312 | 300 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.0% | 136 | 129 | $6K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 20 | 18 | $177.30 |
| D1330 | <1% | 31 | 23 | $138.00 |
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.