Dental
Bulatovic, Jelena
Bulatovic, Jelena was paid $48K by Medicaid between Aug 2020 and Nov 2020, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoBULATOVIC, JELENA
CASA GRANDE, AZ 85122
CASA GRANDE, AZ 85122
33aNPI1023626520assigned 07/21/2020
33bProvider typeDentist
28Total paid$48K
24GClaims2,297
24DCodes billed13
24AFirst – last monthAug 2020 – Nov 2020
Compared with peers
Next to other Dentist providers in Arizona
Rank by total paid#89 of 468
Median peer was paid$686.85
This provider vs. median70×
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 | |
|---|---|---|---|
| 2020 | 2,297 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 310 | 287 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 353 | 318 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 16% | 298 | 275 | $8K |
| D1351 | Sealant - per tooth | 11% | 63 | 38 | $5K |
| D0274 | Bitewings - four radiographic images | 6.9% | 219 | 192 | $3K |
| D1110 | Prophylaxis - adult | 5.7% | 69 | 58 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 107 | 96 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 327 | 289 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 312 | 268 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 13 | 13 | $866.70 |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 13 | 12 | $653.74 |
| D0272 | Bitewings - two radiographic images | 1.3% | 68 | 61 | $611.00 |
1 more codes
| D1999 | 0% | 145 | $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.