Liddiard, Jeremy

Liddiard, Jeremy was paid $165K by Medicaid between Jan 2018 and Apr 2019, across 12 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 30% of everything it billed.

33Billing provider infoLIDDIARD, JEREMY
PHOENIX, AZ 85028

33aNPI1003269358assigned 07/21/2016

33bProvider typeDentist

28Total paid$165K

24GClaims3,150

24DCodes billed12

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other Dentist providers in Arizona

Rank by total paid#49 of 468

Median peer was paid$686.85

This provider vs. median240×

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	2,510	$138K
2019	640	$27K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7140	Extraction, erupted tooth or exposed root	30%	508	194	$49K
D2150	Silver amalgam - two surfaces, primary or permanent	27%	437	177	$45K
D0230	Intraoral - periapical each additional radiographic image	14%	437	421	$23K
D0150	Comprehensive oral evaluation - new or established patient	7.9%	344	333	$13K
D2160		5.9%	84	48	$10K
D0220	Intraoral - periapical first radiographic image	4.6%	638	605	$8K
D0140	Limited oral evaluation - problem focused	3.5%	179	169	$6K
D0210	Intraoral - complete series of radiographic images	2.7%	393	377	$4K
D2140		2.0%	40	24	$3K
D2950		1.8%	24	18	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	42	40	$915.11
D0274	Bitewings - four radiographic images	<1%	24	24	$678.72

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.