Sacopulos, Olivia

Sacopulos, Olivia was paid $6K by Medicaid between Mar 2024 and Apr 2024, across 9 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 20% of everything it billed.

33Billing provider infoSACOPULOS, OLIVIA
PORTAGE, IN 46368

33aNPI1245914555assigned 06/15/2023

33bProvider typeDentist

28Total paid$6K

24GClaims248

24DCodes billed9

24AFirst – last monthMar 2024 – Apr 2024

Compared with peers

Next to other Dentist providers in Indiana

Rank by total paid#327 of 452

Median peer was paid$59K

This provider vs. median0.1×

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	248	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2391	Resin-based composite - one surface, posterior, primary or permanent	20%	20	12	$1K
D0150	Comprehensive oral evaluation - new or established patient	16%	37	34	$1K
D1206	Topical application of fluoride varnish	15%	46	41	$924.55
D0330	Panoramic radiographic image	15%	30	28	$901.08
D1110	Prophylaxis - adult	11%	17	17	$684.45
D0140	Limited oral evaluation - problem focused	8.3%	23	23	$512.40
D0220	Intraoral - periapical first radiographic image	6.5%	34	32	$397.36
D0274	Bitewings - four radiographic images	5.1%	13	13	$311.44
D0230	Intraoral - periapical each additional radiographic image	3.2%	28	21	$197.33

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.