Dental
Petroselli, David
Petroselli, David was paid $326K by Medicaid between Jun 2020 and Oct 2023, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.
33Billing provider infoPETROSELLI, DAVID
CAROL STREAM, IL 60188
CAROL STREAM, IL 60188
33aNPI1720241896assigned 07/08/2008
33bProvider typeDentist
28Total paid$326K
24GClaims14,379
24DCodes billed16
24AFirst – last monthJun 2020 – Oct 2023
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#390 of 1,099
Median peer was paid$160K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2020 | 3,421 | $72K | |
| 2021 | 6,738 | $158K | |
| 2022 | 2,123 | $49K | |
| 2023 | 2,097 | $46K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 2,289 | 2,162 | $91K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 2,417 | 2,262 | $66K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 2,194 | 2,070 | $56K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 825 | 789 | $18K |
| D1110 | Prophylaxis - adult | 5.4% | 486 | 459 | $18K |
| D0274 | Bitewings - four radiographic images | 5.0% | 942 | 892 | $16K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 2,001 | 1,864 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.1% | 167 | 143 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 229 | 193 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 2.3% | 262 | 251 | $8K |
| D0140 | Limited oral evaluation - problem focused | 2.3% | 439 | 410 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 1,712 | 1,591 | $7K |
4 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.