Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Nelson, Philip

Nelson, Philip was paid $578K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 34% of everything it billed.

33Billing provider infoNELSON, PHILIP
CHICAGO, IL 60631
33aNPI1083768113assigned 01/23/2007
33bProvider typePublic Health Dentist
28Total paid$578K
24GClaims21,721
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Public Health Dentist providers in Illinois

Rank by total paid#3 of 13
Median peer was paid$56K
This provider vs. median10×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20183,484$78K
20195,789$118K
20201,965$43K
20222,297$72K
20235,674$183K
2024incomplete2,512$83K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 34% 5,122 5,070 $197K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 27% 5,505 5,420 $154K
D1206 Topical application of fluoride varnish 21% 5,183 5,129 $120K
D1351 Sealant - per tooth 18% 1,741 1,074 $107K
D0601 0% 3,315 3,284 $0.00
D0603 0% 85 85 $0.00
D0602 0% 770 756 $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.