Dental
Banipal, Amrit
Banipal, Amrit was paid $53K by Medicaid between Sep 2020 and Jan 2021, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoBANIPAL, AMRIT
MONTGOMERY, IL 60538
MONTGOMERY, IL 60538
33aNPI1366051237assigned 07/27/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$53K
24GClaims2,153
24DCodes billed12
24AFirst – last monthSep 2020 – Jan 2021
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#664 of 1,017
Median peer was paid$123K
This provider vs. median0.4×
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 | 2,045 | $50K | |
| 2021 | 108 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 340 | 340 | $13K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 391 | 390 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 16% | 338 | 338 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.5% | 64 | 57 | $4K |
| D1110 | Prophylaxis - adult | 7.3% | 100 | 100 | $4K |
| D0274 | Bitewings - four radiographic images | 6.7% | 220 | 220 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.0% | 135 | 134 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 3.4% | 39 | 32 | $2K |
| D0272 | Bitewings - two radiographic images | 2.8% | 164 | 164 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 230 | 224 | $1K |
| D0140 | Limited oral evaluation - problem focused | 2.2% | 76 | 73 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 56 | 56 | $421.80 |
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.