Dental
Durham, Dominique
Durham, Dominique was paid $159K by Medicaid between Nov 2021 and Oct 2023, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoDURHAM, DOMINIQUE
TALLAHASSEE, FL 32301
TALLAHASSEE, FL 32301
33aNPI1053972257assigned 06/27/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$159K
24GClaims17,343
24DCodes billed22
24AFirst – last monthNov 2021 – Oct 2023
Compared with peers
Next to other General Practice Dentistry providers in Florida
Rank by total paid#137 of 568
Median peer was paid$24K
This provider vs. median6.6×
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 | |
|---|---|---|---|
| 2021 | 591 | $6K | |
| 2022 | 8,802 | $92K | |
| 2023 | 7,950 | $61K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 986 | 894 | $32K |
| D0330 | Panoramic radiographic image | 20% | 731 | 640 | $32K |
| D1351 | Sealant - per tooth | 15% | 1,490 | 360 | $23K |
| D1110 | Prophylaxis - adult | 12% | 686 | 591 | $20K |
| D1354 | 6.8% | 2,324 | 372 | $11K | |
| D1206 | Topical application of fluoride varnish | 4.7% | 1,851 | 1,697 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.6% | 168 | 129 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.6% | 205 | 136 | $6K |
| D0140 | Limited oral evaluation - problem focused | 2.7% | 615 | 533 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 710 | 635 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 265 | 256 | $4K |
| D0274 | Bitewings - four radiographic images | 2.3% | 588 | 558 | $4K |
10 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 87 | $2K |
| D0191 | <1% | 1,113 | $1K | |
| D0120 | Dental checkup, returning patient | <1% | 208 | $876.94 |
| D1330 | <1% | 1,639 | $148.46 | |
| D0602 | <1% | 2,250 | $90.00 | |
| D0272 | Bitewings - two radiographic images | <1% | 49 | $26.76 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 677 | $16.02 |
| D0603 | 0% | 637 | $0.00 | |
| D1355 | 0% | 51 | $0.00 | |
| D0270 | 0% | 13 | $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.