Dental
Chalaveetil, Mary Diya
Chalaveetil, Mary Diya was paid $307K by Medicaid between Mar 2024 and Dec 2024, across 24 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.
33Billing provider infoCHALAVEETIL, MARY DIYA
BARTLETT, IL 60103
BARTLETT, IL 60103
33aNPI1295412948assigned 07/03/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$307K
24GClaims9,004
24DCodes billed24
24AFirst – last monthMar 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#353 of 1,017
Median peer was paid$123K
This provider vs. median2.5×
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 | 9,004 | $307K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 1,016 | 1,015 | $43K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,351 | 1,349 | $38K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.8% | 482 | 414 | $30K |
| D1208 | Topical application of fluoride, excluding varnish | 8.6% | 978 | 977 | $26K |
| D1351 | Sealant - per tooth | 7.3% | 356 | 190 | $22K |
| D0274 | Bitewings - four radiographic images | 6.5% | 1,021 | 1,020 | $20K |
| D1110 | Prophylaxis - adult | 5.8% | 366 | 366 | $18K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.3% | 187 | 172 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.0% | 593 | 593 | $15K |
| D0330 | Panoramic radiographic image | 4.0% | 446 | 444 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.9% | 291 | 250 | $12K |
| D4341 | 3.5% | 70 | 42 | $11K |
12 more codes
| D7140 | Extraction, erupted tooth or exposed root | 2.8% | 125 | $9K |
| D9110 | 2.6% | 149 | $8K | |
| D2740 | Crown - porcelain/ceramic | 1.6% | 17 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 534 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 661 | $4K |
| D0272 | Bitewings - two radiographic images | <1% | 255 | $3K |
| D2331 | <1% | 28 | $2K | |
| D4342 | <1% | 24 | $2K | |
| D2335 | <1% | 17 | $2K | |
| D2332 | <1% | 12 | $1K | |
| D2950 | <1% | 13 | $942.76 | |
| D9630 | <1% | 12 | $282.00 |
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.