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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAnia Ait Oubelli
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    Ania Ait Oubelli — Billing Profile & Reimbursement Data

    NPI 1366874497 · Montreal, ZZ · Dentist

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    Ania Ait Oubelli is a dentist provider located in Montreal, Unspecified Location. This profile covers 0 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "ZZ" is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAnia Ait Oubelli
    AddressDentiste
    CityMontreal
    StateZZ (Unspecified Location)
    ZIPH8N1X
    TaxonomyDentist
    NPI EnumeratedJuly 31, 2013

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$820
    Medicare$0

    Key Findings

    Provider profile and tenure: ANIA AIT OUBELLI is registered as a Dentist (NPI enumerated 2013-07-31, ~13 years ago) and practices in MONTREAL, ZZ. The long-tenured NPI indicates an established provider record despite the very limited public-payer billing observed in the files.

    Payer mix and scale: This provider has no Medicare billing on file and only $815 in lifetime Medicaid revenue, making their public-payer footprint effectively single-payer and extremely small in scale. Analysts should treat this entity as a minimal Medicaid participant rather than an active Medicaid or Medicare billing practice.

    Revenue concentration in Medicaid: The top three Medicaid codes account for 89.3% of the provider's total Medicaid revenue, indicating a highly concentrated revenue profile. Those top codes are D0120 (45.5% of Medicaid revenue), D1110 (22.3%), and D0274 (21.5%), so a small set of services drives nearly all reported Medicaid receipts.

    Service-line implications from code mix: The visible codes (D0120 – periodic oral evaluation and D1110 – adult prophylaxis) point to a preventive/general-dentistry focus in the provider's Medicaid activity, with routine exams and cleanings dominating claims. D0220 (intraoral periapical first radiographic image) further supports that the billed services are diagnostic and preventive; D0274 appears among the top codes but lacks a description in the file, so its clinical interpretation should be confirmed against source code sets before drawing more detailed service-line conclusions.

    Competitive standing for D0120: For D0120 this provider ranks #2 of 5 in-state (75th percentile) and the file characterizes that volume as "typical, unremarkable." This indicates an upper-middle position for this specific preventive-evaluation code among the small set of in-state peers, but the underlying Medicaid dollar amounts are still very modest ($371 for D0120).

    Competitive standing for other top codes: D1110 is ranked #3 of 3 in-state (0th percentile) and D0274 is ranked #2 of 2 in-state (0th percentile), with both labeled as "typical, unremarkable" volumes in the source. Those rankings reflect very small peer populations and limited absolute revenue ($182 for D1110 and $175 for D0274), so the state-level comparisons are fragile and should be interpreted cautiously given the tiny Medicaid totals.

    Absence from Medicare market: There is no Medicare billing on file for this NPI, so the provider has no measurable national Medicare competitive standing or Medicare-derived revenue to analyze. Any conclusions about broader market role must therefore be based on non-Medicare data or other sources outside the provided public-payer files.

    Statistical outlier assessment and interpretation: None of the reported top codes are described as extreme outliers; the dataset labels the volumes as "typical, unremarkable," and the absolute Medicaid revenue ($815) is minimal. Combined with the concentrated top-three share (89.3%), this pattern suggests a narrow, routine Medicaid service mix at very low volume rather than anomalous billing behavior or market dominance.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D0120Periodic oral evaluation - established patient50$10$370
    D1110Prophylaxis - adult; cleaning and polishing of the teeth10$10$180
    D0274N/A30$10$180
    D0220Intraoral - periapical first radiographic image30$1$90

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Unspecified Location providers billing the same CPT/HCPCS codes. Note: "ZZ" is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; claims coded under it are benchmarked here as their own state-equivalent group.

    Full comparison — all codes billed, vs. Unspecified Location median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D0120Periodic oral evaluation - established patient21040$20$1.4K
    D0274N/A21050$30$1.3K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth31020$50$1.2K
    D0220Intraoral - periapical first radiographic image210110$10$1.1K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Unspecified Location Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Unspecified Location Distribution
    Ania Ait Oubelli — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Unspecified Location