Basom, Bryan

Basom, Bryan was paid $4K by Medicaid between Jan 2019 and Jul 2021, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.

33Billing provider infoBASOM, BRYAN
CHILLICOTHE, OH 45601

33aNPI1043499650assigned 10/31/2007

33bProvider typeDentist

28Total paid$4K

24GClaims533

24DCodes billed10

24AFirst – last monthJan 2019 – Jul 2021

Compared with peers

Next to other Dentist providers in Ohio

Rank by total paid#574 of 745

Median peer was paid$38K

This provider vs. median0.1×

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
2019	168	$2K
2020	191	$78.00
2021	174	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	27%	39	39	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	59	57	$967.45
D0150	Comprehensive oral evaluation - new or established patient	17%	37	36	$686.47
D1206	Topical application of fluoride varnish	9.0%	24	24	$369.75
D0330	Panoramic radiographic image	8.2%	15	14	$335.84
D0220	Intraoral - periapical first radiographic image	5.5%	65	62	$227.50
D0140	Limited oral evaluation - problem focused	4.5%	12	12	$184.03
D0274	Bitewings - four radiographic images	4.0%	19	18	$163.00
D0230	Intraoral - periapical each additional radiographic image	1.4%	34	18	$57.00
D1999		0%	229	193	$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.