Dental
Chebolu, Srutha Keerthi
Chebolu, Srutha Keerthi was paid $514K by Medicaid between Jul 2020 and Sep 2024, across 21 billing codes. Its largest line is D1351, Sealant - per tooth — 18% of everything it billed.
33Billing provider infoCHEBOLU, SRUTHA KEERTHI
BLOOMINGTON, IL 61704
BLOOMINGTON, IL 61704
33aNPI1326663873assigned 06/10/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$514K
24GClaims19,319
24DCodes billed21
24AFirst – last monthJul 2020 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#252 of 1,017
Median peer was paid$123K
This provider vs. median4.2×
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 | |
|---|---|---|---|
| 2020 | 1,656 | $34K | |
| 2021 | 3,609 | $82K | |
| 2022 | 7,840 | $213K | |
| 2023 | 4,029 | $132K | |
| 2024incomplete | 2,185 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 18% | 1,441 | 556 | $94K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 1,864 | 1,822 | $76K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.4% | 1,749 | 1,685 | $48K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.4% | 1,824 | 1,785 | $43K |
| D1206 | Topical application of fluoride varnish | 8.3% | 1,653 | 1,621 | $43K |
| D0274 | Bitewings - four radiographic images | 5.9% | 1,836 | 1,784 | $30K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.3% | 305 | 254 | $27K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.1% | 3,338 | 3,077 | $26K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.6% | 361 | 311 | $24K |
| D0220 | Intraoral - periapical first radiographic image | 4.2% | 3,508 | 3,368 | $22K |
| D1110 | Prophylaxis - adult | 4.1% | 463 | 461 | $21K |
| D4341 | 2.8% | 103 | 58 | $14K |
9 more codes
| D5110 | 2.2% | 26 | $12K | |
| D0330 | Panoramic radiographic image | 1.6% | 381 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 178 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 88 | $6K |
| D5120 | 1.1% | 13 | $6K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 116 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 17 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 29 | $754.00 |
| D0272 | Bitewings - two radiographic images | <1% | 26 | $301.08 |
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.