Bolotnikova, Irina

Bolotnikova, Irina was paid $13K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 33% of everything it billed.

33Billing provider infoBOLOTNIKOVA, IRINA
MORTON GROVE, IL 60053

33aNPI1396816419assigned 11/11/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$13K

24GClaims1,131

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#797 of 1,017

Median peer was paid$123K

This provider vs. median0.1×

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	241	$3K
2019	254	$2K
2020	47	$498.40
2021	135	$2K
2022	136	$1K
2023	214	$3K
2024incomplete	104	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0220	Intraoral - periapical first radiographic image	33%	639	606	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	139	139	$4K
D0230	Intraoral - periapical each additional radiographic image	16%	241	187	$2K
D1120	Dental cleaning, childProphylaxis - child	7.9%	26	26	$1K
D0140	Limited oral evaluation - problem focused	6.7%	33	32	$883.52
D0150	Comprehensive oral evaluation - new or established patient	4.3%	27	24	$568.35
D1208	Topical application of fluoride, excluding varnish	2.4%	12	12	$312.00
D0272	Bitewings - two radiographic images	<1%	14	13	$122.20

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.