Dental
Arizona, Guillermo
Arizona, Guillermo was paid $73K by Medicaid between Mar 2018 and Oct 2023, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 57% of everything it billed.
33Billing provider infoARIZONA, GUILLERMO
WAUKEGAN, IL 60085
WAUKEGAN, IL 60085
33aNPI1275535338assigned 06/02/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$73K
24GClaims2,148
24DCodes billed3
24AFirst – last monthMar 2018 – Oct 2023
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#608 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 | 173 | $6K | |
| 2019 | 330 | $11K | |
| 2020 | 301 | $10K | |
| 2021 | 434 | $15K | |
| 2022 | 443 | $15K | |
| 2023 | 467 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 57% | 1,028 | 1,012 | $42K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 41% | 1,083 | 1,061 | $30K |
| D1208 | Topical application of fluoride, excluding varnish | 1.3% | 37 | 37 | $977.60 |
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.