Dental
Bacon, Tracy
Bacon, Tracy was paid $114K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 54% of everything it billed.
33Billing provider infoBACON, TRACY
SOUTH BEND, IN 46617
SOUTH BEND, IN 46617
33aNPI1023099959assigned 11/08/2005
33bProvider typeDentist
28Total paid$114K
24GClaims3,738
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#189 of 452
Median peer was paid$59K
This provider vs. median1.9×
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 | 272 | $2K | |
| 2019 | 304 | $9K | |
| 2020 | 571 | $18K | |
| 2021 | 733 | $23K | |
| 2022 | 747 | $25K | |
| 2023 | 649 | $19K | |
| 2024incomplete | 462 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 54% | 1,420 | 1,350 | $62K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 1,502 | 1,425 | $32K |
| D0274 | Bitewings - four radiographic images | 12% | 414 | 385 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 6.1% | 402 | 383 | $7K |
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.