Dental
Saavedra Rodriguez, Raquel
Saavedra Rodriguez, Raquel was paid $89K by Medicaid between Jan 2023 and Dec 2024, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoSAAVEDRA RODRIGUEZ, RAQUEL
WEST CHICAGO, IL 60185
WEST CHICAGO, IL 60185
33aNPI1104565399assigned 06/03/2022
33bProvider typeDentist
28Total paid$89K
24GClaims3,273
24DCodes billed14
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#647 of 1,099
Median peer was paid$160K
This provider vs. median0.6×
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 | 2,079 | $58K | |
| 2024incomplete | 1,194 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 632 | 632 | $27K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 585 | 585 | $17K |
| D1206 | Topical application of fluoride varnish | 14% | 469 | 469 | $12K |
| D1351 | Sealant - per tooth | 9.5% | 77 | 58 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.0% | 87 | 78 | $8K |
| D0274 | Bitewings - four radiographic images | 4.7% | 218 | 218 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 513 | 508 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 116 | 116 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.0% | 40 | 39 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 448 | 447 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 1.0% | 34 | 34 | $928.20 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 28 | 28 | $740.62 |
2 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.