Dental
Mitchual, Serena
Mitchual, Serena was paid $1K by Medicaid between Apr 2018 and Jul 2020, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoMITCHUAL, SERENA
CHICAGO, IL 60612
CHICAGO, IL 60612
33aNPI1316382187assigned 05/07/2013
33bProvider typePediatric Dentist
28Total paid$1K
24GClaims4,231
24DCodes billed12
24AFirst – last monthApr 2018 – Jul 2020
Compared with peers
Next to other Pediatric Dentist providers in Illinois
Rank by total paid#49 of 53
Median peer was paid$99K
This provider vs. median0.0×
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 | 1,298 | $105.16 | |
| 2019 | 2,068 | $1K | |
| 2020 | 865 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 1,009 | 966 | $338.88 |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 102 | 94 | $156.00 |
| D1206 | Topical application of fluoride varnish | 13% | 1,064 | 1,028 | $149.35 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 889 | 861 | $140.02 |
| D0230 | Intraoral - periapical each additional radiographic image | 8.6% | 141 | 84 | $96.00 |
| D0272 | Bitewings - two radiographic images | 8.6% | 649 | 626 | $95.91 |
| D0220 | Intraoral - periapical first radiographic image | 7.1% | 233 | 211 | $80.00 |
| D0330 | Panoramic radiographic image | 4.8% | 14 | 13 | $54.00 |
| D0240 | <1% | 61 | 20 | $10.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 35 | 26 | $0.00 |
| D1330 | 0% | 20 | 20 | $0.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 14 | 12 | $0.00 |
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.