Dental
Mattison, Charles
Mattison, Charles was paid $611.00 by Medicaid between Feb 2018 and May 2018, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 55% of everything it billed.
33Billing provider infoMATTISON, CHARLES
INGLEWOOD, CA 90302
INGLEWOOD, CA 90302
33aNPI1003948563assigned 03/11/2007
33bProvider typeDentist
28Total paid$611.00
24GClaims46
24DCodes billed2
24AFirst – last monthFeb 2018 – May 2018
Compared with peers
Next to other Dentist providers in California
Rank by total paid#2,197 of 2,314
Median peer was paid$185K
This provider vs. median0.0×
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 | 46 | $611.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 55% | 34 | 33 | $336.00 |
| D0330 | Panoramic radiographic image | 45% | 12 | 12 | $275.00 |
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.