Dental
Dudhatra, Jagruti
Dudhatra, Jagruti was paid $7K by Medicaid between Mar 2023 and Jul 2024, across 7 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 29% of everything it billed.
33Billing provider infoDUDHATRA, JAGRUTI
GLENVIEW, IL 60025
GLENVIEW, IL 60025
33aNPI1073242202assigned 06/04/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$7K
24GClaims306
24DCodes billed7
24AFirst – last monthMar 2023 – Jul 2024
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#869 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 | |
|---|---|---|---|
| 2023 | 150 | $3K | |
| 2024incomplete | 156 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 29% | 77 | 77 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 40 | 40 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 37 | 37 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 16% | 39 | 39 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 6.5% | 13 | 13 | $429.61 |
| D0220 | Intraoral - periapical first radiographic image | 6.4% | 84 | 70 | $423.04 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 16 | 12 | $62.72 |
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.