Beltran, Liset
Beltran, Liset was paid $1.00M by Medicaid between Jan 2018 and Mar 2020, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoBELTRAN, LISET
MELROSE PARK, IL 60160
MELROSE PARK, IL 60160
33aNPI1841585791assigned 06/17/2011
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$1.00M
24GClaims34,489
24DCodes billed18
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Illinois
Rank by total paid#15 of 981
Median peer was paid$27K
This provider vs. median38×
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 | 18,770 | $552K | |
| 2019 | 14,192 | $410K | |
| 2020 | 1,527 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 6,626 | 6,428 | $266K |
| D1206 | Topical application of fluoride varnish | 17% | 6,616 | 6,416 | $168K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 5,639 | 5,471 | $155K |
| D1351 | Sealant - per tooth | 14% | 2,703 | 1,399 | $139K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.2% | 1,139 | 654 | $72K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.7% | 409 | 277 | $37K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.6% | 401 | 274 | $26K |
| D0274 | Bitewings - four radiographic images | 2.4% | 1,499 | 1,432 | $24K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 571 | 326 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 1,035 | 1,000 | $21K |
| D7140 | Extraction, erupted tooth or exposed root | 1.7% | 358 | 215 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 2,721 | 2,606 | $15K |
6 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 2,673 | $14K |
| D0272 | Bitewings - two radiographic images | 1.3% | 1,455 | $13K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 393 | $10K |
| D0140 | Limited oral evaluation - problem focused | <1% | 196 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 40 | $623.10 |
| D0330 | Panoramic radiographic image | <1% | 15 | $316.40 |
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.