Diaz, Martha

Diaz, Martha was paid $31K by Medicaid between Jan 2018 and Feb 2021, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 48% of everything it billed.

33Billing provider infoDIAZ, MARTHA
WAUKEGAN, IL 60085

33aNPI1114139540assigned 05/06/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$31K

24GClaims1,311

24DCodes billed7

24AFirst – last monthJan 2018 – Feb 2021

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#714 of 1,017

Median peer was paid$123K

This provider vs. median0.3×

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	669	$16K
2019	525	$12K
2021	117	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	48%	376	369	$15K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	331	325	$9K
D1208	Topical application of fluoride, excluding varnish	15%	185	185	$5K
D0220	Intraoral - periapical first radiographic image	3.6%	203	198	$1K
D0230	Intraoral - periapical each additional radiographic image	2.2%	178	178	$676.40
D0274	Bitewings - four radiographic images	1.3%	26	26	$422.50
D0272	Bitewings - two radiographic images	<1%	12	12	$112.80

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.