Dental
Rackauskas, Mary
Rackauskas, Mary was paid $113K by Medicaid between Nov 2019 and Mar 2024, across 7 billing codes. Its largest line is D1351, Sealant - per tooth — 37% of everything it billed.
33Billing provider infoRACKAUSKAS, MARY
SPRINGFIELD, IL 62704
SPRINGFIELD, IL 62704
33aNPI1982734919assigned 03/07/2007
33bProvider typePediatric Dentist
28Total paid$113K
24GClaims3,241
24DCodes billed7
24AFirst – last monthNov 2019 – Mar 2024
Compared with peers
Next to other Pediatric Dentist providers in Illinois
Rank by total paid#25 of 53
Median peer was paid$99K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2019 | 318 | $8K | |
| 2020 | 762 | $22K | |
| 2021 | 97 | $4K | |
| 2022 | 473 | $19K | |
| 2023 | 1,476 | $54K | |
| 2024incomplete | 115 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 37% | 640 | 399 | $42K |
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 743 | 715 | $31K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 750 | 720 | $21K |
| D1206 | Topical application of fluoride varnish | 17% | 740 | 712 | $19K |
| D0601 | 0% | 217 | 217 | $0.00 | |
| D0603 | 0% | 41 | 41 | $0.00 | |
| D0602 | 0% | 110 | 109 | $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.