Dental
Mannelly, John
Mannelly, John was paid $93K by Medicaid between Jan 2018 and Aug 2018, across 13 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 30% of everything it billed.
33Billing provider infoMANNELLY, JOHN
MACHESNEY PARK, IL 61115
MACHESNEY PARK, IL 61115
33aNPI1881979466assigned 10/14/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$93K
24GClaims3,670
24DCodes billed13
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#559 of 1,017
Median peer was paid$123K
This provider vs. median0.8×
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 | 3,670 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 30% | 548 | 189 | $28K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 340 | 293 | $13K |
| D1351 | Sealant - per tooth | 12% | 241 | 89 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10.0% | 389 | 336 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 8.8% | 338 | 290 | $8K |
| D0274 | Bitewings - four radiographic images | 4.2% | 246 | 221 | $4K |
| D0140 | Limited oral evaluation - problem focused | 4.0% | 244 | 217 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.9% | 204 | 186 | $4K |
| D1110 | Prophylaxis - adult | 3.9% | 143 | 126 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 548 | 486 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.6% | 265 | 235 | $2K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.6% | 26 | 15 | $2K |
1 more codes
| D0272 | Bitewings - two radiographic images | 1.4% | 138 | $1K |
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.