Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Malcolm, Andy

Malcolm, Andy was paid $1.55M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.

33Billing provider infoMALCOLM, ANDY
BELVIDERE, IL 61008
33aNPI1033207089assigned 10/11/2006
33bProvider typePediatric Dentist
28Total paid$1.55M
24GClaims50,679
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Illinois

Rank by total paid#7 of 53
Median peer was paid$99K
This provider vs. median16×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20186,185$165K
20198,928$276K
20206,315$182K
20219,598$297K
20228,561$280K
20238,035$256K
2024incomplete3,057$96K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 28% 11,247 10,645 $434K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 18% 10,493 9,949 $278K
D1208 Topical application of fluoride, excluding varnish 16% 10,461 9,890 $255K
D1351 Sealant - per tooth 8.7% 2,771 1,898 $135K
D2930 Prefabricated stainless steel crown - primary tooth 6.6% 970 422 $103K
D7140 Extraction, erupted tooth or exposed root 6.6% 1,855 1,008 $102K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 4.0% 2,384 2,141 $62K
D2150 Silver amalgam - two surfaces, primary or permanent 2.2% 611 433 $34K
D0272 Bitewings - two radiographic images 2.1% 3,734 3,506 $32K
D0274 Bitewings - four radiographic images 1.3% 1,323 1,274 $21K
D1206 Topical application of fluoride varnish 1.1% 623 623 $17K
D0330 Panoramic radiographic image 1.0% 905 862 $16K
9 more codes
D0150 Comprehensive oral evaluation - new or established patient <1% 705 $14K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 207 $13K
D0210 Intraoral - complete series of radiographic images <1% 603 $11K
D0140 Limited oral evaluation - problem focused <1% 723 $9K
D2140 <1% 217 $8K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 72 $4K
D0220 Intraoral - periapical first radiographic image <1% 744 $4K
D0230 Intraoral - periapical each additional radiographic image <1% 17 $72.20
D0240 0% 14 $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.