Dental
Blank, Kelli
Blank, Kelli was paid $902K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoBLANK, KELLI
VANDALIA, IL 62471
VANDALIA, IL 62471
33aNPI1730475617assigned 06/20/2011
33bProvider typeDentist
28Total paid$902K
24GClaims34,968
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#186 of 1,099
Median peer was paid$160K
This provider vs. median5.6×
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 | 9,448 | $207K | |
| 2019 | 10,511 | $220K | |
| 2020 | 8,507 | $234K | |
| 2021 | 2,463 | $86K | |
| 2022 | 1,728 | $65K | |
| 2023 | 1,604 | $65K | |
| 2024incomplete | 707 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 5,328 | 5,077 | $204K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 5,297 | 5,137 | $142K |
| D7140 | Extraction, erupted tooth or exposed root | 12% | 1,528 | 791 | $107K |
| D1206 | Topical application of fluoride varnish | 11% | 4,108 | 3,894 | $99K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.0% | 1,004 | 775 | $63K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 1,510 | 1,470 | $33K |
| D1110 | Prophylaxis - adult | 3.6% | 907 | 861 | $33K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.5% | 430 | 236 | $32K |
| D0330 | Panoramic radiographic image | 3.0% | 1,532 | 1,460 | $27K |
| D0210 | Intraoral - complete series of radiographic images | 3.0% | 1,733 | 1,664 | $27K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 621 | 478 | $27K |
| D0274 | Bitewings - four radiographic images | 2.9% | 1,933 | 1,835 | $26K |
8 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 3,518 | $17K |
| D0272 | Bitewings - two radiographic images | 1.7% | 1,747 | $15K |
| D1351 | Sealant - per tooth | 1.6% | 336 | $14K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 862 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 2,469 | $12K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 75 | $6K |
| D4341 | <1% | 17 | $3K | |
| D2335 | <1% | 13 | $1K |
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.