Rachkova, Katerina

Rachkova, Katerina was paid $105K by Medicaid between Jan 2018 and Jan 2019, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.

33Billing provider infoRACHKOVA, KATERINA
MELROSE PARK, IL 60160

33aNPI1942638739assigned 10/15/2013

33bProvider typeGeneral Practice Dentistry

28Total paid$105K

24GClaims4,594

24DCodes billed15

24AFirst – last monthJan 2018 – Jan 2019

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#542 of 1,017

Median peer was paid$123K

This provider vs. median0.9×

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	4,280	$99K
2019	314	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	26%	697	673	$27K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	16%	287	192	$17K
D1208	Topical application of fluoride, excluding varnish	14%	588	569	$15K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	469	452	$12K
D0150	Comprehensive oral evaluation - new or established patient	8.9%	458	443	$9K
D1351	Sealant - per tooth	5.3%	117	60	$6K
D0230	Intraoral - periapical each additional radiographic image	4.2%	746	645	$4K
D0220	Intraoral - periapical first radiographic image	3.7%	704	675	$4K
D0210	Intraoral - complete series of radiographic images	3.5%	128	126	$4K
D0272	Bitewings - two radiographic images	2.0%	230	223	$2K
D7140	Extraction, erupted tooth or exposed root	1.8%	39	27	$2K
D0274	Bitewings - four radiographic images	1.3%	87	86	$1K

3 more codes

D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	18	$832.95
D1110	Prophylaxis - adult	<1%	13	$330.20
D0140	Limited oral evaluation - problem focused	<1%	13	$194.40

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.