Dental
Bautista, Philippe
Bautista, Philippe was paid $294K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.
33Billing provider infoBAUTISTA, PHILIPPE
JEFFERSONVILLE, IN 47130
JEFFERSONVILLE, IN 47130
33aNPI1053423301assigned 08/31/2006
33bProvider typePediatric Dentist
28Total paid$294K
24GClaims9,794
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Indiana
Rank by total paid#86 of 155
Median peer was paid$414K
This provider vs. median0.7×
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 | 194 | $0.00 | |
| 2022 | 2,099 | $61K | |
| 2023 | 6,704 | $212K | |
| 2024incomplete | 797 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 1,505 | 1,480 | $79K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 430 | 247 | $30K |
| D1206 | Topical application of fluoride varnish | 9.1% | 1,559 | 1,541 | $27K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.8% | 1,001 | 998 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.0% | 669 | 649 | $21K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.7% | 169 | 115 | $20K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.9% | 500 | 457 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.5% | 1,533 | 535 | $13K |
| D0330 | Panoramic radiographic image | 4.0% | 219 | 218 | $12K |
| D0272 | Bitewings - two radiographic images | 4.0% | 590 | 590 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | 3.2% | 155 | 95 | $9K |
| D1351 | Sealant - per tooth | 3.1% | 374 | 131 | $9K |
6 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 680 | $8K |
| D1110 | Prophylaxis - adult | 2.1% | 105 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 93 | $5K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 97 | $3K |
| D0274 | Bitewings - four radiographic images | 1.1% | 90 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 25 | $111.95 |
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.