Abdoun, Ezzat
Abdoun, Ezzat was paid $15K by Medicaid between Jan 2018 and Jul 2024, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 29% of everything it billed.
33Billing provider infoABDOUN, EZZAT
FARMINGTON, CT 06030
FARMINGTON, CT 06030
33aNPI1962630905assigned 06/29/2009
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$15K
24GClaims629
24DCodes billed12
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Connecticut
Rank by total paid#18 of 57
Median peer was paid$2K
This provider vs. median6.7×
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 | 188 | $6K | |
| 2020 | 364 | $8K | |
| 2024incomplete | 77 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 29% | 48 | 24 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 89 | 89 | $2K |
| D9630 | 11% | 91 | 91 | $2K | |
| D1110 | Prophylaxis - adult | 9.8% | 33 | 33 | $1K |
| D1206 | Topical application of fluoride varnish | 8.5% | 75 | 75 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.7% | 29 | 29 | $972.08 |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.3% | 32 | 30 | $907.99 |
| D1208 | Topical application of fluoride, excluding varnish | 5.9% | 41 | 41 | $852.39 |
| D0274 | Bitewings - four radiographic images | 5.1% | 42 | 42 | $745.20 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 69 | 56 | $357.76 |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 68 | 67 | $346.58 |
| D0330 | Panoramic radiographic image | 1.5% | 12 | 12 | $215.96 |
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.