Dental
Eloustaz, Omar
Eloustaz, Omar was paid $6K by Medicaid between Apr 2022 and Jun 2022, across 3 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 48% of everything it billed.
33Billing provider infoELOUSTAZ, OMAR
ENCINO, CA 91436
ENCINO, CA 91436
33aNPI1912679358assigned 10/04/2021
33bProvider typeDentist
28Total paid$6K
24GClaims93
24DCodes billed3
24AFirst – last monthApr 2022 – Jun 2022
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,970 of 2,314
Median peer was paid$185K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2022 | 93 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 48% | 44 | 44 | $3K |
| D1110 | Prophylaxis - adult | 26% | 17 | 17 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 26% | 32 | 32 | $1K |
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.