Dental
Demertzis, Mariell
Demertzis, Mariell was paid $141K by Medicaid between Oct 2023 and Dec 2024, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 34% of everything it billed.
33Billing provider infoDEMERTZIS, MARIELL
SKOKIE, IL 60077
SKOKIE, IL 60077
33aNPI1720710452assigned 06/30/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$141K
24GClaims5,189
24DCodes billed14
24AFirst – last monthOct 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#481 of 1,017
Median peer was paid$123K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2023 | 359 | $9K | |
| 2024incomplete | 4,830 | $132K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 34% | 1,157 | 1,150 | $48K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 985 | 980 | $28K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 792 | 785 | $21K |
| D1351 | Sealant - per tooth | 9.8% | 259 | 109 | $14K |
| D0274 | Bitewings - four radiographic images | 5.2% | 406 | 403 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.5% | 79 | 42 | $5K |
| D1206 | Topical application of fluoride varnish | 3.3% | 176 | 175 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 134 | 132 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 523 | 512 | $3K |
| D0330 | Panoramic radiographic image | 1.4% | 84 | 84 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 458 | 449 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 29 | 19 | $910.00 |
2 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.