Dental
Mitsos, William
Mitsos, William was paid $54K by Medicaid between Feb 2024 and Apr 2024, across 6 billing codes. Its largest line is D1351, Sealant - per tooth — 45% of everything it billed.
33Billing provider infoMITSOS, WILLIAM
KANKAKEE, IL 60901
KANKAKEE, IL 60901
33aNPI1194912709assigned 09/27/2007
33bProvider typeDentist
28Total paid$54K
24GClaims1,489
24DCodes billed6
24AFirst – last monthFeb 2024 – Apr 2024
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#731 of 1,099
Median peer was paid$160K
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 | |
|---|---|---|---|
| 2024incomplete | 1,489 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 45% | 418 | 194 | $24K |
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 300 | 300 | $13K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 300 | 300 | $9K |
| D1206 | Topical application of fluoride varnish | 15% | 301 | 301 | $8K |
| D0602 | 0% | 48 | 48 | $0.00 | |
| D0601 | 0% | 122 | 122 | $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.