Dental
Mancini, Andy
Mancini, Andy was paid $71K by Medicaid between May 2024 and Sep 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 13% of everything it billed.
33Billing provider infoMANCINI, ANDY
BLOOMINGTON, IL 61704
BLOOMINGTON, IL 61704
33aNPI1487813473assigned 06/04/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$71K
24GClaims2,979
24DCodes billed17
24AFirst – last monthMay 2024 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#612 of 1,017
Median peer was paid$123K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2024incomplete | 2,979 | $71K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 219 | 219 | $9K |
| D1351 | Sealant - per tooth | 13% | 141 | 72 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.3% | 233 | 233 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.8% | 89 | 88 | $6K |
| D1354 | 8.0% | 227 | 139 | $6K | |
| D1208 | Topical application of fluoride, excluding varnish | 8.0% | 211 | 211 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.5% | 206 | 206 | $5K |
| D0274 | Bitewings - four radiographic images | 5.6% | 228 | 228 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 5.4% | 55 | 39 | $4K |
| D0140 | Limited oral evaluation - problem focused | 5.4% | 199 | 198 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 4.6% | 504 | 500 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.4% | 391 | 389 | $2K |
5 more codes
| D0330 | Panoramic radiographic image | 3.0% | 91 | $2K |
| D0272 | Bitewings - two radiographic images | 1.9% | 122 | $1K |
| D1110 | Prophylaxis - adult | 1.9% | 35 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 13 | $509.60 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 15 | $432.77 |
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.