Dental
Javier, Maria
Javier, Maria was paid $793K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 23% of everything it billed.
33Billing provider infoJAVIER, MARIA
CHICAGO, IL 60657
CHICAGO, IL 60657
33aNPI1245451996assigned 05/01/2007
33bProvider typePediatric Dentist
28Total paid$793K
24GClaims24,464
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Illinois
Rank by total paid#11 of 53
Median peer was paid$99K
This provider vs. median8.0×
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 | |
|---|---|---|---|
| 2018 | 4,588 | $152K | |
| 2019 | 3,562 | $115K | |
| 2020 | 1,102 | $35K | |
| 2021 | 7,798 | $238K | |
| 2022 | 5,334 | $171K | |
| 2023 | 1,031 | $28K | |
| 2024incomplete | 1,049 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 23% | 1,756 | 1,068 | $184K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 2,328 | 2,227 | $93K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 1,452 | 913 | $89K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.3% | 2,086 | 1,850 | $66K |
| D1206 | Topical application of fluoride varnish | 6.2% | 1,957 | 1,868 | $50K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 6.1% | 759 | 505 | $49K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.1% | 1,770 | 1,698 | $48K |
| D7140 | Extraction, erupted tooth or exposed root | 5.9% | 935 | 623 | $47K |
| D1351 | Sealant - per tooth | 5.5% | 630 | 359 | $44K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 1,563 | 1,504 | $33K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 3,435 | 2,491 | $23K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 2,974 | 2,787 | $17K |
11 more codes
| D0272 | Bitewings - two radiographic images | 1.6% | 1,372 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 249 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 1.0% | 327 | $8K |
| D0330 | Panoramic radiographic image | <1% | 338 | $8K |
| D1354 | <1% | 319 | $7K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 38 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 80 | $1K |
| D9310 | <1% | 57 | $855.00 | |
| D9110 | <1% | 13 | $715.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 13 | $219.70 |
| D1999 | 0% | 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.