Dental
Koulis, Antonia
Koulis, Antonia was paid $413K by Medicaid between Jan 2018 and Nov 2019, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 29% of everything it billed.
33Billing provider infoKOULIS, ANTONIA
GLENVIEW, IL 60025
GLENVIEW, IL 60025
33aNPI1801968532assigned 11/15/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$413K
24GClaims19,364
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#294 of 1,017
Median peer was paid$123K
This provider vs. median3.4×
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 | 9,724 | $213K | |
| 2019 | 9,640 | $200K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 29% | 4,566 | 4,469 | $120K |
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 3,538 | 3,448 | $114K |
| D1351 | Sealant - per tooth | 26% | 3,371 | 1,683 | $109K |
| D1206 | Topical application of fluoride varnish | 17% | 3,642 | 3,550 | $69K |
| D0601 | 0% | 2,811 | 2,762 | $0.00 | |
| D0602 | 0% | 1,250 | 1,227 | $0.00 | |
| D0603 | 0% | 186 | 182 | $0.00 |
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.