Balan, Simona

Balan, Simona was paid $13K by Medicaid between Mar 2022 and Apr 2022, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 40% of everything it billed.

33Billing provider infoBALAN, SIMONA
MORTON GROVE, IL 60053

33aNPI1023282217assigned 04/17/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$13K

24GClaims544

24DCodes billed8

24AFirst – last monthMar 2022 – Apr 2022

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#801 of 1,017

Median peer was paid$123K

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

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
2022	544	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	40%	124	124	$5K
D1206	Topical application of fluoride varnish	25%	123	123	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	19%	86	86	$2K
D0150	Comprehensive oral evaluation - new or established patient	4.6%	24	24	$596.16
D0272	Bitewings - two radiographic images	3.6%	42	42	$465.78
D0220	Intraoral - periapical first radiographic image	3.3%	64	63	$423.04
D0274	Bitewings - four radiographic images	3.0%	19	19	$378.86
D0230	Intraoral - periapical each additional radiographic image	2.2%	62	62	$277.76

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.