Dental
Sandusky, Robert
Sandusky, Robert was paid $277K by Medicaid between Jan 2018 and Jan 2020, across 19 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 16% of everything it billed.
33Billing provider infoSANDUSKY, ROBERT
ELMHURST, IL 60126
ELMHURST, IL 60126
33aNPI1205056413assigned 04/27/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$277K
24GClaims11,763
24DCodes billed19
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#375 of 1,017
Median peer was paid$123K
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2018 | 6,832 | $159K | |
| 2019 | 4,807 | $115K | |
| 2020 | 124 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 16% | 991 | 597 | $43K |
| D1110 | Prophylaxis - adult | 12% | 1,032 | 926 | $35K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,167 | 1,076 | $29K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.8% | 639 | 597 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.8% | 1,116 | 1,032 | $22K |
| D2950 | 6.1% | 262 | 197 | $17K | |
| D0140 | Limited oral evaluation - problem focused | 5.6% | 1,013 | 927 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.5% | 283 | 225 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 4.5% | 527 | 496 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 273 | 195 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 1,867 | 1,647 | $9K |
| D4341 | 3.0% | 50 | 28 | $8K |
7 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.8% | 1,156 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.7% | 124 | $8K |
| D0272 | Bitewings - two radiographic images | 2.3% | 759 | $6K |
| D3310 | 2.2% | 39 | $6K | |
| D0274 | Bitewings - four radiographic images | 1.7% | 317 | $5K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 131 | $1K |
| D2332 | <1% | 17 | $1K |
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.