Mousa, Ammar

Mousa, Ammar was paid $5K by Medicaid between Nov 2021 and Mar 2023, across 9 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 56% of everything it billed.

33Billing provider infoMOUSA, AMMAR
WILDWOOD, FL 34785

33aNPI1962413781assigned 08/10/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$5K

24GClaims659

24DCodes billed9

24AFirst – last monthNov 2021 – Mar 2023

Compared with peers

Next to other General Practice Dentistry providers in Florida

Rank by total paid#407 of 568

Median peer was paid$24K

This provider vs. median0.2×

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
2021	282	$3K
2022	337	$2K
2023	40	$540.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	56%	62	62	$3K
D1110	Prophylaxis - adult	28%	37	37	$1K
D1120	Dental cleaning, childProphylaxis - child	9.5%	70	69	$507.00
D0999	Unspecified diagnostic procedure, by report	4.9%	13	13	$260.00
D0274	Bitewings - four radiographic images	<1%	20	20	$51.00
D1330		<1%	179	176	$22.00
D1206	Topical application of fluoride varnish	<1%	176	174	$19.00
D0230	Intraoral - periapical each additional radiographic image	0%	49	48	$0.00
D0220	Intraoral - periapical first radiographic image	0%	53	53	$0.00

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.