Sandouk, Keenan
Sandouk, Keenan was paid $45K by Medicaid between Jul 2021 and Dec 2021, across 6 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoSANDOUK, KEENAN
PROVIDENCE, RI 02908
PROVIDENCE, RI 02908
33aNPI1972111029assigned 07/15/2020
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$45K
24GClaims470
24DCodes billed6
24AFirst – last monthJul 2021 – Dec 2021
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Rhode Island
Rank by total paid#29 of 80
Median peer was paid$16K
This provider vs. median2.8×
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 | 470 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 98% | 264 | 256 | $44K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 98 | 81 | $389.88 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 34 | 27 | $180.00 |
| D0274 | Bitewings - four radiographic images | <1% | 33 | 26 | $144.00 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 16 | 14 | $110.00 |
| D0601 | 0% | 25 | 25 | $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.