Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Abbassi, Summy

Abbassi, Summy was paid $22K by Medicaid between Jun 2022 and Sep 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 52% of everything it billed.

33Billing provider infoABBASSI, SUMMY
TARZANA, CA 91356
33aNPI1952854176assigned 07/25/2016
33bProvider typeDentist
28Total paid$22K
24GClaims509
24DCodes billed8
24AFirst – last monthJun 2022 – Sep 2024
Compared with peers

Next to other Dentist providers in California

Rank by total paid#1,739 of 2,314
Median peer was paid$185K
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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2022169$7K
2023225$10K
2024incomplete115$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 52% 126 126 $11K
D1208 Topical application of fluoride, excluding varnish 14% 214 213 $3K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 13% 41 40 $3K
D0150 Comprehensive oral evaluation - new or established patient 8.2% 27 27 $2K
D0210 Intraoral - complete series of radiographic images 5.5% 26 26 $1K
D0230 Intraoral - periapical each additional radiographic image 4.1% 49 49 $891.00
D9430 1.9% 13 12 $416.00
D0274 Bitewings - four radiographic images 1.3% 13 13 $280.80

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.