Dental
Djordjevic, Stevan
Djordjevic, Stevan was paid $162K by Medicaid between Sep 2018 and Mar 2020, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoDJORDJEVIC, STEVAN
ELMWOOD PARK, IL 60707
ELMWOOD PARK, IL 60707
33aNPI1255826483assigned 06/29/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$162K
24GClaims6,454
24DCodes billed13
24AFirst – last monthSep 2018 – Mar 2020
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#454 of 1,017
Median peer was paid$123K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2018 | 788 | $19K | |
| 2019 | 4,752 | $121K | |
| 2020 | 914 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 1,272 | 1,217 | $49K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 1,277 | 1,225 | $34K |
| D1208 | Topical application of fluoride, excluding varnish | 19% | 1,253 | 1,198 | $30K |
| D7140 | Extraction, erupted tooth or exposed root | 6.0% | 184 | 117 | $10K |
| D0274 | Bitewings - four radiographic images | 5.4% | 553 | 519 | $9K |
| D1110 | Prophylaxis - adult | 4.7% | 211 | 198 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 309 | 293 | $6K |
| D0140 | Limited oral evaluation - problem focused | 2.6% | 295 | 279 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.1% | 67 | 52 | $3K |
| D0272 | Bitewings - two radiographic images | 2.1% | 373 | 358 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 510 | 479 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.0% | 44 | 39 | $2K |
1 more codes
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 106 | $729.60 |
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.