Dental
Black, Jhared
Black, Jhared was paid $41K by Medicaid between Sep 2018 and Aug 2020, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.
33Billing provider infoBLACK, JHARED
MATTESON, IL 60443
MATTESON, IL 60443
33aNPI1578017505assigned 08/08/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$41K
24GClaims1,864
24DCodes billed15
24AFirst – last monthSep 2018 – Aug 2020
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#686 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 | |
|---|---|---|---|
| 2018 | 79 | $839.65 | |
| 2019 | 409 | $5K | |
| 2020 | 1,376 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 231 | 207 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 214 | 194 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 163 | 135 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.5% | 70 | 40 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 9.5% | 156 | 136 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 7.3% | 57 | 33 | $3K |
| D1351 | Sealant - per tooth | 6.0% | 40 | 18 | $2K |
| D0274 | Bitewings - four radiographic images | 5.5% | 157 | 143 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.1% | 60 | 32 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 326 | 288 | $2K |
| D1110 | Prophylaxis - adult | 2.9% | 36 | 24 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 215 | 190 | $836.00 |
3 more codes
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.