Dental
Mirza, Annie
Mirza, Annie was paid $161K by Medicaid between Jan 2018 and Jul 2020, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoMIRZA, ANNIE
WAUKEGAN, IL 60085
WAUKEGAN, IL 60085
33aNPI1801271317assigned 07/26/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$161K
24GClaims8,119
24DCodes billed15
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#456 of 1,017
Median peer was paid$123K
This provider vs. median1.3×
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 | 6,783 | $146K | |
| 2019 | 822 | $9K | |
| 2020 | 514 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 936 | 921 | $38K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 893 | 879 | $23K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 869 | 854 | $22K |
| D1351 | Sealant - per tooth | 10% | 351 | 132 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.9% | 625 | 604 | $13K |
| D0274 | Bitewings - four radiographic images | 7.9% | 822 | 801 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 4.7% | 1,359 | 1,316 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.0% | 98 | 57 | $7K |
| D1110 | Prophylaxis - adult | 4.0% | 241 | 232 | $6K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.6% | 113 | 41 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.3% | 1,300 | 1,250 | $5K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 163 | 155 | $2K |
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.