Dental
Henderson, Dionne
Henderson, Dionne was paid $381K by Medicaid between Jan 2018 and Jan 2020, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoHENDERSON, DIONNE
SOUTH HOLLAND, IL 60473
SOUTH HOLLAND, IL 60473
33aNPI1053422758assigned 08/31/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$381K
24GClaims9,230
24DCodes billed18
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#313 of 1,017
Median peer was paid$123K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2018 | 5,874 | $229K | |
| 2019 | 3,134 | $134K | |
| 2020 | 222 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 1,789 | 1,786 | $72K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 531 | 239 | $67K |
| D1351 | Sealant - per tooth | 17% | 2,134 | 568 | $63K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13% | 524 | 223 | $50K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 1,384 | 1,384 | $50K |
| D1208 | Topical application of fluoride, excluding varnish | 9.6% | 1,497 | 1,496 | $37K |
| D1352 | 2.5% | 148 | 46 | $10K | |
| D1206 | Topical application of fluoride varnish | 2.0% | 324 | 322 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.0% | 49 | 35 | $8K |
| D0191 | 1.8% | 480 | 480 | $7K | |
| D1110 | Prophylaxis - adult | <1% | 59 | 59 | $3K |
| D1354 | <1% | 93 | 35 | $2K |
6 more codes
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.