Phan, Matthew

Phan, Matthew was paid $22K by Medicaid between Jun 2020 and Oct 2020, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 36% of everything it billed.

33Billing provider infoPHAN, MATTHEW
ROSELLE, IL 60172

33aNPI1164944146assigned 07/12/2017

33bProvider typeDentist

28Total paid$22K

24GClaims1,014

24DCodes billed8

24AFirst – last monthJun 2020 – Oct 2020

Compared with peers

Next to other Dentist providers in Illinois

Rank by total paid#844 of 1,099

Median peer was paid$160K

This provider vs. median0.1×

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
2020	1,014	$22K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	36%	193	162	$8K
D1208	Topical application of fluoride, excluding varnish	23%	194	163	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	22%	171	140	$5K
D0274	Bitewings - four radiographic images	7.8%	103	84	$2K
D0220	Intraoral - periapical first radiographic image	4.2%	166	135	$916.60
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	4.0%	14	12	$866.70
D0230	Intraoral - periapical each additional radiographic image	2.7%	158	130	$589.00
D0210	Intraoral - complete series of radiographic images	<1%	15	14	$105.80

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.