Bansi, Guntas

Bansi, Guntas was paid $25K by Medicaid between May 2024 and Dec 2024, across 16 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 20% of everything it billed.

33Billing provider infoBANSI, GUNTAS
WOOD DALE, IL 60191

33aNPI1710677968assigned 05/10/2023

33bProvider typeGeneral Practice Dentistry

28Total paid$25K

24GClaims674

24DCodes billed16

24AFirst – last monthMay 2024 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#737 of 1,017

Median peer was paid$123K

This provider vs. median0.2×

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
2024incomplete	674	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2391	Resin-based composite - one surface, posterior, primary or permanent	20%	65	54	$5K
D4341		14%	26	14	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	119	119	$3K
D1120	Dental cleaning, childProphylaxis - child	10%	62	62	$3K
D0330	Panoramic radiographic image	7.2%	92	92	$2K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	7.0%	19	15	$2K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	6.5%	24	17	$2K
D9110		5.9%	29	28	$1K
D0272	Bitewings - two radiographic images	4.7%	118	118	$1K
D1206	Topical application of fluoride varnish	3.5%	32	32	$873.60
D1110	Prophylaxis - adult	2.7%	14	14	$677.32
D0150	Comprehensive oral evaluation - new or established patient	1.5%	14	14	$365.12

4 more codes

D1208	Topical application of fluoride, excluding varnish	1.4%	14	$354.90
D0274	Bitewings - four radiographic images	<1%	14	$219.34
D0230	Intraoral - periapical each additional radiographic image	<1%	16	$112.01
D0220	Intraoral - periapical first radiographic image	<1%	16	$105.76

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.