Dental
Andre, John
Andre, John was paid $6K by Medicaid between Jan 2020 and Sep 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 56% of everything it billed.
33Billing provider infoANDRE, JOHN
LOUISA, VA 23093
LOUISA, VA 23093
33aNPI1003834607assigned 07/18/2006
33bProvider typeDentist
28Total paid$6K
24GClaims5,547
24DCodes billed16
24AFirst – last monthJan 2020 – Sep 2024
Compared with peers
Next to other Dentist providers in Virginia
Rank by total paid#276 of 417
Median peer was paid$34K
This provider vs. median0.2×
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 | 441 | $6K | |
| 2023 | 960 | $0.00 | |
| 2024incomplete | 4,146 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 56% | 807 | 750 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 23% | 261 | 232 | $1K |
| D0330 | Panoramic radiographic image | 16% | 123 | 115 | $971.82 |
| D0274 | Bitewings - four radiographic images | 3.6% | 463 | 455 | $220.80 |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 778 | 726 | $78.26 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 282 | 191 | $0.00 |
| D9630 | 0% | 405 | 405 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 544 | 499 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 260 | 249 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 595 | 595 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 393 | 393 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 138 | 107 | $0.00 |
4 more codes
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.