Dental
Thota, Sandeep
Thota, Sandeep was paid $5.53M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 15% of everything it billed.
33Billing provider infoTHOTA, SANDEEP
BLOOMINGTON, IL 61704
BLOOMINGTON, IL 61704
33aNPI1467835223assigned 06/29/2015
33bProvider typeDentist
28Total paid$5.53M
24GClaims131,705
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#10 of 1,099
Median peer was paid$160K
This provider vs. median34×
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 | 17,279 | $492K | |
| 2019 | 20,419 | $679K | |
| 2020 | 16,299 | $681K | |
| 2021 | 25,801 | $1.20M | |
| 2022 | 24,942 | $1.32M | |
| 2023 | 18,447 | $828K | |
| 2024incomplete | 8,518 | $331K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 15% | 11,920 | 4,529 | $804K |
| D4341 | 12% | 4,545 | 1,493 | $659K | |
| D1351 | Sealant - per tooth | 12% | 10,050 | 3,968 | $645K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.5% | 6,435 | 2,608 | $526K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.3% | 15,242 | 14,033 | $406K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.8% | 9,609 | 9,031 | $377K |
| D5110 | 6.3% | 868 | 835 | $346K | |
| D5120 | 4.9% | 686 | 656 | $273K | |
| D1110 | Prophylaxis - adult | 4.3% | 5,804 | 5,409 | $237K |
| D1206 | Topical application of fluoride varnish | 4.0% | 8,797 | 8,284 | $219K |
| D4342 | 3.8% | 1,050 | 771 | $212K | |
| D0274 | Bitewings - four radiographic images | 2.5% | 7,969 | 7,545 | $139K |
18 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 2,396 | $121K |
| D0330 | Panoramic radiographic image | 2.1% | 5,308 | $117K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 4,359 | $94K |
| D2332 | 1.6% | 937 | $91K | |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 14,672 | $84K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.0% | 13,971 | $55K |
| D0272 | Bitewings - two radiographic images | <1% | 3,406 | $31K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 308 | $24K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 762 | $19K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 142 | $13K |
| D0140 | Limited oral evaluation - problem focused | <1% | 622 | $11K |
| D2331 | <1% | 76 | $7K | |
| D0270 | <1% | 1,161 | $6K | |
| D2751 | Crown - porcelain fused to predominantly base metal | <1% | 16 | $4K |
| D2330 | <1% | 74 | $4K | |
| D9110 | <1% | 13 | $715.00 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 51 | $149.30 |
| D1999 | 0% | 456 | $0.00 |
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.