Dental
Gabrish Grabovac, Lisa
Gabrish Grabovac, Lisa was paid $90.32 by Medicaid between May 2018 and Oct 2018, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.
33Billing provider infoGABRISH GRABOVAC, LISA
CHESTERTON, IN 46304
CHESTERTON, IN 46304
33aNPI1114977303assigned 05/11/2006
33bProvider typePediatric Dentist
28Total paid$90.32
24GClaims83
24DCodes billed3
24AFirst – last monthMay 2018 – Oct 2018
Compared with peers
Next to other Pediatric Dentist providers in Indiana
Rank by total paid#150 of 155
Median peer was paid$414K
This provider vs. median0.0×
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 | 83 | $90.32 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 100% | 42 | 39 | $90.32 |
| D1206 | Topical application of fluoride varnish | 0% | 29 | 28 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 12 | 12 | $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.