Dental
Prieto, Karen
Prieto, Karen was paid $110K by Medicaid between Jun 2024 and Dec 2024, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoPRIETO, KAREN
MELROSE PARK, IL 60160
MELROSE PARK, IL 60160
33aNPI1619720075assigned 04/08/2024
33bProvider typeGeneral Practice Dentistry
28Total paid$110K
24GClaims4,015
24DCodes billed15
24AFirst – last monthJun 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#530 of 1,017
Median peer was paid$123K
This provider vs. median0.9×
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 | 4,015 | $110K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 442 | 442 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 532 | 532 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 427 | 427 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 187 | 148 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.6% | 231 | 159 | $11K |
| D1351 | Sealant - per tooth | 7.7% | 144 | 51 | $9K |
| D0274 | Bitewings - four radiographic images | 6.3% | 365 | 365 | $7K |
| D1110 | Prophylaxis - adult | 5.7% | 131 | 131 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 4.9% | 95 | 68 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 160 | 160 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.4% | 618 | 443 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 517 | 514 | $3K |
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.