Dental
Petrik, Erin
Petrik, Erin was paid $216K by Medicaid between Jan 2018 and Jan 2021, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoPETRIK, ERIN
CHICAGO, IL 60614
CHICAGO, IL 60614
33aNPI1316393390assigned 05/10/2016
33bProvider typePediatric Dentist
28Total paid$216K
24GClaims9,952
24DCodes billed14
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers
Next to other Pediatric Dentist providers in Illinois
Rank by total paid#20 of 53
Median peer was paid$99K
This provider vs. median2.2×
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 | 2,731 | $59K | |
| 2019 | 5,223 | $118K | |
| 2020 | 1,892 | $37K | |
| 2021 | 106 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 1,366 | 1,230 | $53K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 1,165 | 1,067 | $31K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 1,132 | 1,004 | $28K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 2,564 | 1,424 | $26K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.2% | 705 | 645 | $18K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.7% | 263 | 208 | $14K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.2% | 164 | 121 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 4.4% | 1,735 | 1,548 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 433 | 362 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.2% | 204 | 170 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | 2.9% | 127 | 91 | $6K |
| D1354 | <1% | 30 | 14 | $608.85 |
2 more codes
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.