Mitrovic, Tatiana

Mitrovic, Tatiana was paid $152K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 37% of everything it billed.

33Billing provider infoMITROVIC, TATIANA
NORTH RIVERSIDE, IL 60546

33aNPI1144390402assigned 11/08/2006

33bProvider typeDentist

28Total paid$152K

24GClaims5,350

24DCodes billed14

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Dentist providers in Illinois

Rank by total paid#562 of 1,099

Median peer was paid$160K

This provider vs. median0.9×

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	1,727	$47K
2019	778	$22K
2020	630	$18K
2021	828	$24K
2022	413	$12K
2023	589	$20K
2024incomplete	385	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	37%	1,414	1,325	$57K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	21%	1,180	1,113	$32K
D1208	Topical application of fluoride, excluding varnish	21%	1,252	1,167	$32K
D0150	Comprehensive oral evaluation - new or established patient	8.9%	646	595	$14K
D1351	Sealant - per tooth	3.2%	84	46	$5K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	3.1%	78	39	$5K
D0274	Bitewings - four radiographic images	2.0%	182	175	$3K
D0220	Intraoral - periapical first radiographic image	1.1%	282	266	$2K
D0272	Bitewings - two radiographic images	<1%	104	100	$968.20
D1110	Prophylaxis - adult	<1%	30	29	$847.60
D7140	Extraction, erupted tooth or exposed root	<1%	23	16	$821.52
D0140	Limited oral evaluation - problem focused	<1%	31	31	$540.37

2 more codes

D0330	Panoramic radiographic image	<1%	12	$271.20
D0230	Intraoral - periapical each additional radiographic image	<1%	32	$161.28

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.