Dental
Rasty, Mary
Rasty, Mary was paid $36K by Medicaid between Mar 2019 and May 2023, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 18% of everything it billed.
33Billing provider infoRASTY, MARY
WAUKEGAN, IL 60085
WAUKEGAN, IL 60085
33aNPI1437132412assigned 11/23/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$36K
24GClaims2,972
24DCodes billed12
24AFirst – last monthMar 2019 – May 2023
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#703 of 1,017
Median peer was paid$123K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2019 | 1,214 | $14K | |
| 2020 | 895 | $10K | |
| 2021 | 850 | $11K | |
| 2023 | 13 | $307.23 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 515 | 474 | $7K |
| D1110 | Prophylaxis - adult | 17% | 245 | 228 | $6K |
| D1206 | Topical application of fluoride varnish | 15% | 549 | 506 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.6% | 198 | 174 | $3K |
| D0274 | Bitewings - four radiographic images | 9.2% | 233 | 212 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 8.0% | 445 | 396 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 4.8% | 101 | 85 | $2K |
| D0140 | Limited oral evaluation - problem focused | 4.4% | 111 | 105 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 340 | 251 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 143 | 121 | $1K |
| D0330 | Panoramic radiographic image | 3.7% | 76 | 71 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.2% | 16 | 15 | $783.62 |
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.