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

Mack, John

Mack, John was paid $34K by Medicaid between Jan 2018 and Jan 2019, across 15 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 44% of everything it billed.

33Billing provider infoMACK, JOHN
LAS VEGAS, NV 89169
33aNPI1043400534assigned 07/31/2007
33bProvider typeDentist
28Total paid$34K
24GClaims1,656
24DCodes billed15
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers

Next to other Dentist providers in Nevada

Rank by total paid#127 of 191
Median peer was paid$67K
This provider vs. median0.5×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
20181,623$33K
201933$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0210 Intraoral - complete series of radiographic images 44% 264 261 $15K
D0150 Comprehensive oral evaluation - new or established patient 12% 320 316 $4K
D1120 Dental cleaning, childProphylaxis - child 10% 79 79 $4K
D0230 Intraoral - periapical each additional radiographic image 6.2% 362 85 $2K
D5213 4.8% 34 31 $2K
D1110 Prophylaxis - adult 4.7% 81 81 $2K
D0140 Limited oral evaluation - problem focused 4.5% 61 59 $2K
D0220 Intraoral - periapical first radiographic image 4.0% 102 102 $1K
D0330 Panoramic radiographic image 3.0% 51 51 $1K
D1208 Topical application of fluoride, excluding varnish 2.4% 80 80 $808.96
D0272 Bitewings - two radiographic images 1.7% 35 35 $576.00
D5899 1.4% 118 84 $471.50
3 more codes
D5410 <1% 15 $315.00
D5110 0% 28 $0.00
D5214 0% 26 $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.