Dental
Kalota, Orusa
Kalota, Orusa was paid $177K by Medicaid between Oct 2019 and Aug 2022, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoKALOTA, ORUSA
BARTLETT, IL 60103
BARTLETT, IL 60103
33aNPI1750874426assigned 06/07/2018
33bProvider typeDentist
28Total paid$177K
24GClaims7,909
24DCodes billed15
24AFirst – last monthOct 2019 – Aug 2022
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#524 of 1,099
Median peer was paid$160K
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 | |
|---|---|---|---|
| 2019 | 355 | $7K | |
| 2020 | 2,480 | $51K | |
| 2021 | 3,211 | $75K | |
| 2022 | 1,863 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 946 | 866 | $37K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 1,080 | 981 | $29K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 394 | 329 | $26K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 865 | 786 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.5% | 551 | 530 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.7% | 217 | 178 | $10K |
| D0274 | Bitewings - four radiographic images | 5.2% | 558 | 510 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 4.7% | 297 | 284 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 1,337 | 1,209 | $8K |
| D0140 | Limited oral evaluation - problem focused | 4.2% | 454 | 426 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 1,016 | 915 | $4K |
| D4341 | 1.9% | 24 | 17 | $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.