Dental
Banuelos, Sara
Banuelos, Sara was paid $254K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.
33Billing provider infoBANUELOS, SARA
DOWNERS GROVE, IL 60515
DOWNERS GROVE, IL 60515
33aNPI1164542429assigned 03/30/2007
33bProvider typeDentist
28Total paid$254K
24GClaims8,950
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#451 of 1,099
Median peer was paid$160K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2018 | 4,719 | $144K | |
| 2019 | 131 | $3K | |
| 2020 | 173 | $4K | |
| 2021 | 53 | $2K | |
| 2022 | 84 | $2K | |
| 2023 | 1,152 | $27K | |
| 2024incomplete | 2,638 | $72K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 32% | 2,037 | 1,933 | $81K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 2,047 | 1,935 | $56K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 1,260 | 1,209 | $33K |
| D1351 | Sealant - per tooth | 7.2% | 304 | 188 | $18K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.1% | 226 | 198 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.8% | 155 | 116 | $10K |
| D0272 | Bitewings - two radiographic images | 2.7% | 730 | 689 | $7K |
| D2140 | 2.1% | 156 | 143 | $5K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.0% | 53 | 41 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 2.0% | 110 | 97 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 839 | 781 | $5K |
| D0274 | Bitewings - four radiographic images | 1.5% | 203 | 197 | $4K |
7 more codes
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.4% | 52 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.0% | 119 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 546 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 46 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 25 | $774.83 |
| D1110 | Prophylaxis - adult | <1% | 14 | $677.32 |
| D0140 | Limited oral evaluation - problem focused | <1% | 28 | $405.00 |
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.