Dental
Sama, Sreelekha
Sama, Sreelekha was paid $9K by Medicaid between Jan 2018 and Oct 2023, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 32% of everything it billed.
33Billing provider infoSAMA, SREELEKHA
ADDISON, IL 60101
ADDISON, IL 60101
33aNPI1528181575assigned 04/06/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$9K
24GClaims404
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#837 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 | 56 | $1K | |
| 2019 | 46 | $1K | |
| 2020 | 14 | $392.00 | |
| 2021 | 40 | $355.10 | |
| 2022 | 70 | $2K | |
| 2023 | 178 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 32% | 112 | 107 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 31% | 72 | 68 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 19% | 25 | 25 | $2K |
| D0274 | Bitewings - four radiographic images | 8.8% | 43 | 43 | $797.96 |
| D0220 | Intraoral - periapical first radiographic image | 8.1% | 121 | 119 | $737.47 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 31 | 31 | $137.64 |
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.