Dental
Jereissati, Cristiane
Jereissati, Cristiane was paid $36K by Medicaid between Mar 2022 and Jul 2022, across 11 billing codes. Its largest line is D1351, Sealant - per tooth — 27% of everything it billed.
33Billing provider infoJEREISSATI, CRISTIANE
BLOOMINGDALE, IL 60108
BLOOMINGDALE, IL 60108
33aNPI1053936153assigned 06/15/2020
33bProvider typeDentist
28Total paid$36K
24GClaims1,552
24DCodes billed11
24AFirst – last monthMar 2022 – Jul 2022
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#785 of 1,099
Median peer was paid$160K
This provider vs. median0.2×
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 | 1,552 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 27% | 191 | 58 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 209 | 208 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 240 | 237 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 207 | 206 | $5K |
| D0274 | Bitewings - four radiographic images | 5.3% | 102 | 102 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.9% | 64 | 64 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 174 | 172 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 169 | 151 | $842.19 |
| D1110 | Prophylaxis - adult | 2.0% | 15 | 15 | $725.70 |
| D0272 | Bitewings - two radiographic images | <1% | 13 | 13 | $144.17 |
| D1999 | 0% | 168 | 161 | $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.