Dental
Lee, Abby
Lee, Abby was paid $53K by Medicaid between Jan 2022 and Apr 2023, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.
33Billing provider infoLEE, ABBY
EVERGREEN PARK, IL 60805
EVERGREEN PARK, IL 60805
33aNPI1245805019assigned 05/24/2021
33bProvider typeDentist
28Total paid$53K
24GClaims1,918
24DCodes billed12
24AFirst – last monthJan 2022 – Apr 2023
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#735 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 | |
|---|---|---|---|
| 2022 | 1,331 | $38K | |
| 2023 | 587 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 293 | 291 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 365 | 364 | $10K |
| D1351 | Sealant - per tooth | 18% | 229 | 72 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 288 | 286 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 86 | 56 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.9% | 84 | 82 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 254 | 244 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 211 | 188 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | 1.9% | 19 | 13 | $1K |
| D0274 | Bitewings - four radiographic images | 1.9% | 54 | 54 | $988.05 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 20 | 12 | $910.00 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 15 | 14 | $461.76 |
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.