Dental
Tennison, Eddie
Tennison, Eddie was paid $503K by Medicaid between Oct 2020 and Nov 2024, across 19 billing codes. Its largest line is D1351, Sealant - per tooth — 26% of everything it billed.
33Billing provider infoTENNISON, EDDIE
ROUND ROCK, TX 78664
ROUND ROCK, TX 78664
33aNPI1023068038assigned 05/11/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$503K
24GClaims23,884
24DCodes billed19
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#524 of 2,774
Median peer was paid$43K
This provider vs. median12×
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 | 1,078 | $26K | |
| 2021 | 5,204 | $107K | |
| 2022 | 8,282 | $183K | |
| 2023 | 6,696 | $135K | |
| 2024incomplete | 2,624 | $51K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 26% | 5,212 | 813 | $130K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 2,724 | 2,603 | $72K |
| D1110 | Prophylaxis - adult | 14% | 1,447 | 1,379 | $72K |
| D0274 | Bitewings - four radiographic images | 11% | 1,829 | 1,742 | $54K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 1,537 | 1,461 | $51K |
| D1208 | Topical application of fluoride, excluding varnish | 8.0% | 2,999 | 2,858 | $40K |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 1,683 | 1,593 | $19K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 1,553 | 1,418 | $16K |
| D0272 | Bitewings - two radiographic images | 3.2% | 800 | 759 | $16K |
| D0330 | Panoramic radiographic image | 2.1% | 431 | 415 | $11K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.7% | 378 | 312 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.1% | 67 | 41 | $6K |
7 more codes
| D0145 | Oral evaluation for a patient under three years of age | <1% | 25 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 87 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 19 | $1K |
| D1330 | <1% | 31 | $269.50 | |
| D0601 | 0% | 1,832 | $0.00 | |
| D0602 | 0% | 653 | $0.00 | |
| D0603 | 0% | 577 | $0.00 |
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.