Sagadraca, Tommy John

Sagadraca, Tommy John was paid $6K by Medicaid between Feb 2022 and Oct 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 59% of everything it billed.

33Billing provider infoSAGADRACA, TOMMY JOHN
MACHESNEY PARK, IL 61115

33aNPI1215387113assigned 06/21/2016

33bProvider typeGeneral Practice Dentistry

28Total paid$6K

24GClaims198

24DCodes billed4

24AFirst – last monthFeb 2022 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#878 of 1,017

Median peer was paid$123K

This provider vs. median0.0×

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
2022	71	$2K
2023	60	$2K
2024incomplete	67	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	59%	120	119	$3K
D1110	Prophylaxis - adult	33%	40	40	$2K
D0150	Comprehensive oral evaluation - new or established patient	5.2%	12	12	$298.08
D0220	Intraoral - periapical first radiographic image	3.0%	26	26	$171.86

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.