Benes, Maya

Benes, Maya was paid $86K by Medicaid between Jan 2018 and Apr 2019, across 17 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 20% of everything it billed.

33Billing provider infoBENES, MAYA
CICERO, IL 60804

33aNPI1366893554assigned 06/29/2016

33bProvider typeDentist

28Total paid$86K

24GClaims2,385

24DCodes billed17

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other Dentist providers in Illinois

Rank by total paid#658 of 1,099

Median peer was paid$160K

This provider vs. median0.5×

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	1,410	$44K
2019	975	$42K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	20%	232	160	$17K
D1120	Dental cleaning, childProphylaxis - child	13%	297	284	$11K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	447	423	$11K
D9110		12%	211	190	$10K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	8.8%	127	100	$8K
D1206	Topical application of fluoride varnish	7.9%	287	276	$7K
D2752		4.9%	19	16	$4K
D4341		4.4%	21	12	$4K
D0274	Bitewings - four radiographic images	4.0%	221	204	$3K
D1110	Prophylaxis - adult	3.6%	97	92	$3K
D0150	Comprehensive oral evaluation - new or established patient	2.8%	120	114	$2K
D1351	Sealant - per tooth	2.3%	39	13	$2K

5 more codes

D2950		1.6%	25	$1K
D0220	Intraoral - periapical first radiographic image	<1%	149	$795.20
D0140	Limited oral evaluation - problem focused	<1%	55	$696.60
D0210	Intraoral - complete series of radiographic images	<1%	22	$494.70
D0230	Intraoral - periapical each additional radiographic image	<1%	16	$83.60

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.