Ericson, Sean

Ericson, Sean was paid $80K by Medicaid between Jan 2018 and Jul 2020, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 25% of everything it billed.

33Billing provider infoERICSON, SEAN
MARION, IL 62959

33aNPI1265860233assigned 10/29/2013

33bProvider typeGeneral Practice Dentistry

28Total paid$80K

24GClaims3,961

24DCodes billed10

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#589 of 1,017

Median peer was paid$123K

This provider vs. median0.6×

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	2,551	$59K
2019	1,123	$17K
2020	287	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	749	719	$20K
D1351	Sealant - per tooth	17%	769	174	$13K
D1120	Dental cleaning, childProphylaxis - child	12%	500	470	$10K
D1206	Topical application of fluoride varnish	12%	786	752	$10K
D1110	Prophylaxis - adult	7.7%	238	226	$6K
D0150	Comprehensive oral evaluation - new or established patient	7.3%	133	117	$6K
D0274	Bitewings - four radiographic images	5.9%	238	226	$5K
D0210	Intraoral - complete series of radiographic images	5.3%	149	132	$4K
D0272	Bitewings - two radiographic images	5.3%	316	298	$4K
D0330	Panoramic radiographic image	2.5%	83	83	$2K

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.