Leblebijian, Raffi

Leblebijian, Raffi was paid $56K by Medicaid between Jan 2018 and Nov 2022, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 45% of everything it billed.

33Billing provider infoLEBLEBIJIAN, RAFFI
KANKAKEE, IL 60901

33aNPI1376594754assigned 05/12/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$56K

24GClaims1,837

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2022

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#653 of 1,017

Median peer was paid$123K

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	549	$15K
2019	406	$12K
2020	361	$12K
2021	317	$11K
2022	204	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	45%	663	582	$26K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	30%	642	588	$17K
D1110	Prophylaxis - adult	16%	226	213	$9K
D1206	Topical application of fluoride varnish	5.3%	122	111	$3K
D0272	Bitewings - two radiographic images	2.0%	132	112	$1K
D0274	Bitewings - four radiographic images	1.1%	39	39	$599.00
D0150	Comprehensive oral evaluation - new or established patient	<1%	13	13	$273.65

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.