Rodeffer, Sara

Rodeffer, Sara was paid $792K by Medicaid between Jun 2022 and Dec 2024, across 20 billing codes. Its largest line is D9999, Unspecified adjunctive procedure, by report — 97% of everything it billed.

33Billing provider infoRODEFFER, SARA
QUINCY, IL 62305

33aNPI1578915260assigned 07/06/2016

33bProvider typeGeneral Practice Dentistry

28Total paid$792K

24GClaims16,211

24DCodes billed20

24AFirst – last monthJun 2022 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#165 of 1,017

Median peer was paid$123K

This provider vs. median6.4×

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
2022	2,798	$159K
2023	5,984	$290K
2024incomplete	7,429	$343K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9999	Unspecified adjunctive procedure, by report	97%	3,096	2,876	$764K
D1120	Dental cleaning, childProphylaxis - child	<1%	1,025	1,019	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	1,869	1,850	$5K
D1206	Topical application of fluoride varnish	<1%	2,095	2,072	$5K
D1110	Prophylaxis - adult	<1%	843	828	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	242	193	$3K
D0274	Bitewings - four radiographic images	<1%	746	743	$2K
D0150	Comprehensive oral evaluation - new or established patient	<1%	137	136	$971.43
D0601		<1%	910	899	$875.00
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	105	80	$595.69
D0602		<1%	468	461	$565.00
D0603		<1%	539	534	$520.00

8 more codes

D0272	Bitewings - two radiographic images	<1%	94	$511.10
D0220	Intraoral - periapical first radiographic image	<1%	542	$384.86
D0330	Panoramic radiographic image	<1%	55	$188.27
D0140	Limited oral evaluation - problem focused	<1%	348	$184.17
D7140	Extraction, erupted tooth or exposed root	<1%	177	$120.64
D0210	Intraoral - complete series of radiographic images	<1%	56	$1.71
D1330		0%	1,941	$0.00
D1310		0%	923	$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.