Dental
Ramirez, Javier
Ramirez, Javier was paid $178K by Medicaid between Jan 2018 and Jan 2021, across 13 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 46% of everything it billed.
33Billing provider infoRAMIREZ, JAVIER
MELROSE PARK, IL 60160
MELROSE PARK, IL 60160
33aNPI1811199656assigned 06/04/2007
33bProvider typeDentist
28Total paid$178K
24GClaims6,076
24DCodes billed13
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#523 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 | |
|---|---|---|---|
| 2018 | 5,750 | $168K | |
| 2019 | 311 | $9K | |
| 2021 | 15 | $722.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 46% | 1,019 | 956 | $82K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 1,266 | 1,111 | $30K |
| D1206 | Topical application of fluoride varnish | 14% | 1,304 | 1,121 | $24K |
| D1351 | Sealant - per tooth | 8.0% | 1,187 | 332 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.1% | 606 | 566 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.8% | 156 | 105 | $8K |
| D0274 | Bitewings - four radiographic images | 2.0% | 176 | 168 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 65 | 49 | $2K |
| D1110 | Prophylaxis - adult | 1.1% | 146 | 125 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 49 | 49 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 56 | 56 | $1K |
| D0431 | <1% | 24 | 21 | $208.00 |
1 more codes
| D0602 | 0% | 22 | $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.