Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Mitsos, James

Mitsos, James was paid $4.27M by Medicaid between Jul 2021 and Dec 2024, across 27 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 37% of everything it billed.

33Billing provider infoMITSOS, JAMES
ORLAND PARK, IL 60467
33aNPI1841712536assigned 07/13/2017
28Total paid$4.27M
24GClaims62,177
24DCodes billed27
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#11 of 1,017
Median peer was paid$123K
This provider vs. median35×

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

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
20217,244$268K
202226,609$1.35M
202316,957$1.42M
2024incomplete11,367$1.24M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 37% 7,750 4,090 $1.59M
D9248 12% 4,000 3,918 $522K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 11% 4,718 3,117 $453K
D7140 Extraction, erupted tooth or exposed root 6.2% 3,676 2,629 $264K
D1351 Sealant - per tooth 5.4% 3,476 2,254 $230K
D2934 3.8% 1,220 777 $161K
D1120 Dental cleaning, childProphylaxis - child 3.2% 3,888 3,788 $138K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.9% 2,332 2,163 $125K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2.6% 1,513 1,127 $112K
D1510 2.5% 1,329 1,167 $108K
D0150 Comprehensive oral evaluation - new or established patient 2.4% 4,525 4,321 $104K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.2% 1,854 1,424 $95K
15 more codes
D1206 Topical application of fluoride varnish 2.0% 3,665 $84K
D0230 Intraoral - periapical each additional radiographic image 1.4% 5,540 $59K
D1354 <1% 1,246 $37K
D3230 <1% 354 $32K
D0120 Dental checkup, returning patient <1% 1,218 $32K
D0220 Intraoral - periapical first radiographic image <1% 4,517 $26K
D0210 Intraoral - complete series of radiographic images <1% 1,256 $23K
D2330 <1% 312 $18K
D0330 Panoramic radiographic image <1% 952 $18K
D0140 Limited oral evaluation - problem focused <1% 1,347 $18K
D0272 Bitewings - two radiographic images <1% 771 $7K
D1208 Topical application of fluoride, excluding varnish <1% 269 $6K
D2332 <1% 46 $4K
D0274 Bitewings - four radiographic images <1% 332 $4K
D0603 0% 71 $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.