Dental
Botvinnik, Igor
Botvinnik, Igor was paid $3K by Medicaid between Mar 2018 and Aug 2019, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 80% of everything it billed.
33Billing provider infoBOTVINNIK, IGOR
MORTON GROVE, IL 60053
MORTON GROVE, IL 60053
33aNPI1760553887assigned 11/11/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$3K
24GClaims92
24DCodes billed3
24AFirst – last monthMar 2018 – Aug 2019
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#918 of 1,017
Median peer was paid$123K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2018 | 67 | $3K | |
| 2019 | 25 | $431.20 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 80% | 55 | 53 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 12 | 12 | $492.00 |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 25 | 24 | $134.40 |
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.