Dental
Priya, Nidhi
Priya, Nidhi was paid $359K by Medicaid between Sep 2020 and Sep 2024, across 20 billing codes. Its largest line is D1351, Sealant - per tooth — 12% of everything it billed.
33Billing provider infoPRIYA, NIDHI
MARION, IL 62959
MARION, IL 62959
33aNPI1962011080assigned 07/24/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$359K
24GClaims13,528
24DCodes billed20
24AFirst – last monthSep 2020 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#323 of 1,017
Median peer was paid$123K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2020 | 2,351 | $71K | |
| 2021 | 7,793 | $249K | |
| 2022 | 203 | $26K | |
| 2023 | 1,496 | $14K | |
| 2024incomplete | 1,685 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 12% | 613 | 295 | $44K |
| D4342 | 12% | 388 | 164 | $44K | |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 1,371 | 1,297 | $44K |
| D1206 | Topical application of fluoride varnish | 11% | 1,368 | 1,300 | $41K |
| D7140 | Extraction, erupted tooth or exposed root | 8.6% | 507 | 282 | $31K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.4% | 591 | 485 | $30K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.7% | 778 | 574 | $28K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.2% | 1,489 | 1,365 | $26K |
| D0274 | Bitewings - four radiographic images | 3.4% | 1,045 | 955 | $12K |
| D4341 | 3.4% | 83 | 27 | $12K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 656 | 600 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 2,002 | 1,801 | $11K |
8 more codes
| D1110 | Prophylaxis - adult | 3.1% | 291 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 1,669 | $5K |
| D0330 | Panoramic radiographic image | <1% | 167 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 330 | $3K |
| D2330 | <1% | 32 | $2K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 102 | $587.64 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 20 | $32.50 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 26 | $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.