Brokaw, Everett

Brokaw, Everett was paid $34K by Medicaid between Jan 2024 and Dec 2024, across 11 billing codes. Its largest line is D9999, Unspecified adjunctive procedure, by report — 94% of everything it billed.

33Billing provider infoBROKAW, EVERETT
KNOXVILLE, IL 61448

33aNPI1205366242assigned 06/13/2017

33bProvider typeDentist

28Total paid$34K

24GClaims912

24DCodes billed11

24AFirst – last monthJan 2024 – Dec 2024

Compared with peers

Next to other Dentist providers in Illinois

Rank by total paid#793 of 1,099

Median peer was paid$160K

This provider vs. median0.2×

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	912	$34K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9999	Unspecified adjunctive procedure, by report	94%	239	199	$32K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	1.7%	148	148	$598.19
D1120	Dental cleaning, childProphylaxis - child	1.5%	133	133	$522.37
D0330	Panoramic radiographic image	1.1%	77	77	$379.64
D1206	Topical application of fluoride varnish	1.0%	157	156	$353.55
D0274	Bitewings - four radiographic images	<1%	42	42	$86.56
D0210	Intraoral - complete series of radiographic images	<1%	18	13	$0.40
D0150	Comprehensive oral evaluation - new or established patient	<1%	59	59	$0.16
D0220	Intraoral - periapical first radiographic image	0%	12	12	$0.00
D0272	Bitewings - two radiographic images	0%	14	14	$0.00
D7140	Extraction, erupted tooth or exposed root	0%	13	13	$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.