Dental
Hadley, Beverly
Hadley, Beverly was paid $325K by Medicaid between May 2022 and Aug 2023, across 11 billing codes. Its largest line is D1351, Sealant - per tooth — 44% of everything it billed.
33Billing provider infoHADLEY, BEVERLY
SOUTH HOLLAND, IL 60473
SOUTH HOLLAND, IL 60473
33aNPI1992841613assigned 01/29/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$325K
24GClaims10,209
24DCodes billed11
24AFirst – last monthMay 2022 – Aug 2023
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#339 of 1,017
Median peer was paid$123K
This provider vs. median2.6×
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 | |
|---|---|---|---|
| 2022 | 1,601 | $49K | |
| 2023 | 8,608 | $276K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 44% | 3,003 | 1,160 | $145K |
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 1,872 | 1,862 | $78K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 1,898 | 1,867 | $54K |
| D1206 | Topical application of fluoride varnish | 15% | 1,865 | 1,855 | $49K |
| D0220 | Intraoral - periapical first radiographic image | 0% | 25 | 25 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 57 | 57 | $0.00 |
| D0601 | 0% | 710 | 710 | $0.00 | |
| D0603 | 0% | 173 | 171 | $0.00 | |
| D0602 | 0% | 546 | 542 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 33 | 33 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 27 | 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.