Dolson, Mark

Dolson, Mark was paid $68K by Medicaid between Apr 2018 and Jun 2020, across 12 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 23% of everything it billed.

33Billing provider infoDOLSON, MARK
O'FALLON, MO 63366

33aNPI1013054170assigned 01/30/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$68K

24GClaims2,792

24DCodes billed12

24AFirst – last monthApr 2018 – Jun 2020

Compared with peers

Next to other General Practice Dentistry providers in Missouri

Rank by total paid#137 of 260

Median peer was paid$78K

This provider vs. median0.9×

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	1,327	$40K
2019	1,336	$26K
2020	129	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	23%	428	425	$16K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	20%	227	94	$14K
D1110	Prophylaxis - adult	15%	406	404	$10K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	9.9%	352	352	$7K
D1208	Topical application of fluoride, excluding varnish	8.4%	591	589	$6K
D0274	Bitewings - four radiographic images	8.0%	293	293	$5K
D1120	Dental cleaning, childProphylaxis - child	6.7%	257	257	$5K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.1%	74	25	$3K
D0210	Intraoral - complete series of radiographic images	2.8%	49	47	$2K
D0140	Limited oral evaluation - problem focused	1.1%	43	38	$742.00
D0220	Intraoral - periapical first radiographic image	<1%	48	48	$408.00
D0272	Bitewings - two radiographic images	<1%	24	24	$266.00

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.