Yi, Jack

Yi, Jack was paid $391K by Medicaid between Jan 2018 and Oct 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.

33Billing provider infoYI, JACK
OLYMPIA FIELDS, IL 60461

33aNPI1619095593assigned 03/27/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$391K

24GClaims13,616

24DCodes billed17

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#308 of 1,017

Median peer was paid$123K

This provider vs. median3.2×

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	3,012	$87K
2019	3,334	$93K
2020	2,306	$64K
2021	1,452	$37K
2022	1,706	$58K
2023	1,147	$33K
2024incomplete	659	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	20%	1,942	1,845	$78K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	2,567	2,464	$64K
D1351	Sealant - per tooth	10%	561	298	$41K
D1110	Prophylaxis - adult	10%	1,301	1,260	$40K
D1208	Topical application of fluoride, excluding varnish	8.5%	1,296	1,222	$33K
D0274	Bitewings - four radiographic images	8.4%	1,886	1,818	$33K
D2391	Resin-based composite - one surface, posterior, primary or permanent	7.2%	571	424	$28K
D0150	Comprehensive oral evaluation - new or established patient	6.4%	1,168	1,129	$25K
D9110		5.8%	437	417	$23K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.6%	162	118	$10K
D0220	Intraoral - periapical first radiographic image	1.3%	946	912	$5K
D0140	Limited oral evaluation - problem focused	<1%	213	205	$3K

5 more codes

D8670	Periodic orthodontic treatment visit	<1%	12	$3K
D0330	Panoramic radiographic image	<1%	113	$2K
D0272	Bitewings - two radiographic images	<1%	158	$1K
D0230	Intraoral - periapical each additional radiographic image	<1%	251	$1K
D0270		<1%	32	$166.20

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.