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    v1.0.28
    OpenPayerNPI Medicare & MedicaidIrene Wong
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    Irene Wong — Billing Profile & Reimbursement Data

    NPI 1841590114 · Champaign, IL · Dentist

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    Irene Wong is a dentist provider located in Champaign, Illinois. This profile covers 0 Medicare and 30 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationIrene Wong
    Address2102 N Market St
    CityChampaign
    StateIL
    ZIP61822
    TaxonomyDentist
    NPI EnumeratedNovember 2, 2010

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$7.1M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D4341Periodontal scaling and root planing - four or more teeth per quadrant6,410$140$890.7K
    D1351Sealant - per tooth12,010$60$732.7K
    D0120Periodic oral evaluation - established patient23,550$30$635.9K
    D1120Prophylaxis–child15,680$40$627K
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…7,210$90$612.9K
    D4342N/A3,340$130$440.9K
    D2392Post 2 surface resin‑based composite5,670$70$402.4K
    D2332N/A3,430$100$325.8K
    D2393Resin-based composite, three surfaces, posterior3,780$80$302.7K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients11,120$30$289.2K

    Showing 1–10 of 30

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    30 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D1120Prophylaxis–child442,140960$40$89.1K
    D1351Sealant - per tooth221,270530$60$87.1K
    D4341Periodontal scaling and root planing - four or more teeth per quadrant2510230$160$83.3K
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…6490160$100$64.4K
    D0120Periodic oral evaluation - established patient112,1701,010$30$64.3K
    D5110N/A57040$400$55.7K
    D1208Topical application of fluoride - excluding varnish1621,480700$20$45.2K
    D2392Post 2 surface resin‑based composite101,300290$60$44K
    D5120N/A56030$400$43.3K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)55980190$60$40.4K

    Showing 1–10 of 30

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Irene Wong, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sandeep ThotaILDentist$0$5.5M
    Charlotte JakkulaILDentist$0$3.9M

    Nearby Providers

    Other providers in the same ZIP code as Irene Wong, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Carle Foundation HospitalILHome Health Agency$0$6.4M
    Champaign Surgicenter, LLCILAmbulatory Surgical Clinic/Center$1.3M$0
    Craig NeitzelILDermatology Physician$204.8K$543.9K
    Sami ZabanehILInternal Medicine Physician$457.1K$53.1K
    Ashok JagasiaILOtolaryngology Physician$109.1K$307.5K
    Yasser HaiderILEndocrinology, Diabetes & Metabolism Physician$371.9K$43.3K
    Ryan PorterILOtolaryngology Physician$22.1K$377.9K
    Brian OganILPain Medicine (Anesthesiology) Physician$223.2K$42.4K
    Janice JonesILMedical Physician Assistant$243.7K$1.9K
    Abu-bakar ZafarILOphthalmology Physician$154K$47.7K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Illinois Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Irene Wong — 19 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois