Dental
Wilson, Keith
Wilson, Keith was paid $226K by Medicaid between Jan 2018 and Aug 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoWILSON, KEITH
PEOTONE, IL 60468
PEOTONE, IL 60468
33aNPI1346391976assigned 01/12/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$226K
24GClaims10,206
24DCodes billed19
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#408 of 1,017
Median peer was paid$123K
This provider vs. median1.8×
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 | 968 | $19K | |
| 2019 | 1,267 | $27K | |
| 2021 | 3,887 | $77K | |
| 2022 | 3,234 | $80K | |
| 2023 | 799 | $23K | |
| 2024incomplete | 51 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 1,421 | 1,278 | $48K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 1,519 | 1,367 | $39K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.7% | 803 | 757 | $20K |
| D0330 | Panoramic radiographic image | 7.7% | 872 | 834 | $17K |
| D1110 | Prophylaxis - adult | 7.3% | 371 | 367 | $16K |
| D0140 | Limited oral evaluation - problem focused | 6.8% | 784 | 728 | $15K |
| D1206 | Topical application of fluoride varnish | 6.5% | 756 | 640 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 4.3% | 377 | 374 | $10K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 4.0% | 104 | 94 | $9K |
| D0274 | Bitewings - four radiographic images | 3.9% | 529 | 494 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 1,362 | 1,221 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.4% | 117 | 93 | $5K |
7 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 788 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 1.5% | 180 | $3K |
| D9110 | <1% | 41 | $2K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 31 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 95 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 15 | $625.92 |
| D0270 | <1% | 41 | $222.20 |
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.